摘要
目的探究多重制度逻辑对医患关系的作用机制。方法通过梳理多重制度逻辑理论,提出患者视角下多重制度逻辑对医患关系作用机制的概念模型,并对江苏省2家三级公立医院住院患者进行问卷调查,分析患者视角下多重制度逻辑对医患关系影响的作用路径,验证概念模型。结果构建了多重制度逻辑对医患关系作用机制的概念模型,验证了患者视角下多重制度逻辑对医患关系有明显影响,市场逻辑和社会逻辑的交互在一定程度上影响医患关系,患者关注焦点在多重制度逻辑对医患关系的影响作用中起到中介效应,多重制度逻辑和患者信息配置能力的交互对患者关注焦点影响明显。结论多重制度逻辑对医患关系的影响存在两条路径:一是多重制度逻辑对医患关系发挥作用的直接效应路径;二是患者关注焦点的中介效应路径,该路径受到患者个体信息配置能力的调节。
Objective To explore the mechanism of multiple institutional logics on the doctor-patient relationship.Method By reviewing the theory of multiple institutional logic,a conceptual model of the mechanism of the impact of multiple institutional logic on doctor-patient relationships from the patient's perspective is proposed.A questionnaire survey is conducted on hospitalized patients in two tertiary public hospitals in Jiangsu Province to analyze the path of the impact of multiple institutional logic on doctor-patient relationships from the patient's perspective and validate the conceptual model.Results The conceptual model of the mechanism of the multiple institutional logic on the doctor-patient relationship was constructed,which verified that the multiple institutional logic had a significant impact on the doctor-patient relationship from the perspective of patients.The interaction of market logic and social logic affected the doctor-patient relationship to a certain extent.The focus of patients'attention played a mesomeric effect in the impact of multiple institutional logic on the doctor-patient relationship.The interaction between multiple institutional logic and patient information allocation ability has a significant impact on patient focus.Conclusion There are two paths to the impact of multiple institutional logic on the doctor-patient relationship:the first is the direct effect path of multiple institutional logic on the doctor-patient relationship.The second is the mesomeric effect path of patients'focus,which is regulated by patients'individual information allocation ability.Based on the research findings,certain suggestions were proposed to provide theoretical reference and strategic recommendations for policy makers to formulate policies related to public hospitals.
作者
傅蓉
陆方
Fu Rong;Lu Fang(School of Health Policy and Management,Nanjing Medical University,Nanjing,Jiangsu,211166,China;不详)
出处
《中国医院管理》
北大核心
2024年第3期62-67,共6页
Chinese Hospital Management
关键词
多重制度逻辑
医患关系
患者视角
作用机制
multiple system logic
doctor-patient relationship
patient perspective
mechanism of action
