通讯作者: 孙晓杰, xiaojiesun@sdu.edu.cn

DOI：10.12201/bmr.202405.00005

Comparison of Patient Trust Patterns between Tertiary Hospitals and Primary Healthcare Institutions: A Mixed Research Based on Interviews and Survey Experiments

• 摘要：目的：在混合研究设计的基础上,采用调查实验法以了解我国三甲医院与基层医疗卫生机构的患者信任模式的差异,旨在为改善患者信任提供针对性的政策建议。方法：本研究中的质性访谈采用方便抽样,对共计38名居民进行半结构式访谈。定量调查采用多阶段抽样和偶遇抽样,对山东省聊城市、淄博市以及烟台市的居民进行问卷调查,最终收回有效问卷648份。结果：在对质性资料的词频分析中,发现三甲医院与基层医疗卫生机构的患者信任模式存在差异,并进一步通过调查实验法予以验证。结果显示,受访者对三甲医院的体系信任水平高于基层医疗卫生机构,对基层医疗卫生机构的人际信任水平则高于三甲医院,且差异均有统计学意义(P<0.05)。结论：我国三甲医院与基层医疗卫生机构的患者信任模式存在显著差异；需要通过增强基层医疗卫生机构医疗水平、优化三甲医院就诊流程等措施以针对性地改善患者信任。

  关键词： 人际信任; 体系信任; 调查实验法; 混合研究方法

   

  Abstract: 【Abstract】Objective: This study seeks to examine the variances in patient trust patterns between tertiary hospitals and primary healthcare institutions in China. It employs a mixed methods approach integrating survey experiments and aims to offer tailored policy suggestions to enhance patient trust. Methods: Qualitative data were collected through convenience sampling via semi-structured interviews with 38 residents. Quantitative data were obtained through multi-stage and incidental sampling via a questionnaire survey among residents of Liaocheng, Zibo, and Yantai cities in Shandong Province, resulting in 648 valid responses. Results: Discrepancies were identified in patient trust patterns between tertiary hospitals and primary healthcare institutions through qualitative data analysis utilizing word frequency analysis. These variances were subsequently validated through survey experiments. The results reveal that respondents exhibit higher System Trust in tertiary hospitals than in primary healthcare institutions, while their Interpersonal Trust level is higher in primary healthcare institutions than in tertiary hospitals, and these disparities are statistically significant (P<0.05). Conclusion: Significant disparities in patient trust patterns exist between tertiary hospitals and primary healthcare institutions in China. Enhancing the medical standards of primary healthcare institutions and optimizing the patient care processes at tertiary hospitals are essential measures to improve patient trust.

  Key words: Interpersonal Trust; System Trust; Survey Experiment; Mixed-Methods Research

  提交时间：2024-05-21

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-02-28	bmr.202405.00005V1	下载

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