Present Situation and Influencing Factor of the Doctor-patient Trust in Rural Area from the Villager′s Perspective / 中国医学伦理学

Objective:To analyze the status of doctor -patient trust and its influencing factors based on the per-spective of the villagers .Methods:Using purposive sampling method , the selection of the H area as the research site in Beijing , for in the 14 township 80 administrative villages of trust information in the form of questionnaire sur-vey .Results:The 350 villagers were surveyed 301 villagers of village clinics held a positive attitude to the doctor -patient relationship , accounted for 86 .00%;There are 44 villagers of village clinics the middle ground the doctor-patient relationship , accounted for 12 .57%;Only five of the villagers of village clinics have held a denial atti-tude to the doctor-patient relationship , accounts for 3.43%of the proportion of the total .Based on blood kinship relationship between the villagers of village clinics and rural doctors more trust , but the technical level and service ability are the main factors affecting doctor -patient trust .Conclusion:Rural doctors and villagers in the same vil-lage , has a common living environment , interpersonal relationship , morality , interpersonal trust between each other is higher .In clinical activities , formed by the interpersonal relationship with the clinical common existing doctor -patient trust , is essentially interpersonal trust mask a lack of technology .Transformation in the society , how to im-prove the service ability of the village clinic , realize the village clinic real doctor -patient trust is the important connotation of health reform .

Conception of the regulatory framework on doctors' multi-spot practice / 中华医院管理杂志

Doctors' multi-spot practice is a new initiative raised during the ongoing health system reform in 2009,put under spotlight of the medical sector and the community at large.This thesis described the concept of the practice,probed into the necessity of its supervision,and proposed the roles and responsibilities of the regulators in question.The authors conceived a regulatory model featuring “refined,informationized,dynamic and socialized” supervision,aiming at providing a reference path for building a regulatory framework on doctors' multi-spot practice in China.