Qualitative Study on Doctor-patient Trust Mode in Beijing Public Hospitals: From the Prospective of Bureaucracy / 中国医学伦理学

ABSTRACT

Taking 6 one class A tertiary public hospitals at the top of the national medical service system in Beijing as the research site, and from the perspective of bureaucracy and system construction of public hospitals, this paper conducted a qualitative study on the doctor-patient trust mode, and analyzed that the institutional trust mode formed by the factors of universalism communication type and reputation trust mechanism among doctors and patients based on the framework of bureaucracy organization was the dominant mode of public hospitals. However, the traditional interpersonal trust mode still existed in the doctor-patient relationship in a recessive way. Systematic, rigorous hospital bureaucracy organization and system made public hospitals not only had a harmonious, orderly and efficient operation of the diagnosis and treatment environment, but also had well-known experts and professional standards at home and abroad, enjoying irreplaceable reputation and trust. Meanwhile, the principle of bureaucratic matter-based principle made an ineffective corporation between different clinic departments and the lack of interpersonal communication and humanistic care between doctors and patients, affecting the trust between doctors and patients. On this basis, it is proposed to strengthen the construction of humanistic environment in public hospitals, incorporate humanistic care and good doctor-patient communication into the performance appraisal of departments and medical staff. At the same time, by integrating the application and practice of medical model in diagnosis and treatment, it is advocated to rebuild more patient-friendly medical management based on organ system, and constantly improve the system trust between doctors and patients.