乡村两级医疗机构医患信任的影响因素分析及对策探讨

摘要

" It is imperative that people deserve the high quality of medical services,and it will finally help to build harmonious doctor - patient relationship. " As the sentence stated,it will be the important goal of medical reform in 2014 when the new round of reform had been continued for entire five years. However,due to lack of talent people and supportive skills,the medical and health services had been stretched to the limit,which had negative influence on achieving that goal. Elder rural doc-tor,unstable condition of doctor worked in township hospital and imperfection mechanisms in terms of training system and motiva-tion,all of these elements makes relatively adverse impact on building doctor - patient relationship. For changing these situations, in return,it is not only to collect appropriate people,but also to construct some sort of effective mechanisms for training system and motivation that is beneficial to implementation of high level of medical skills. Finally,all above actions serve one purpose -reshaping the trust between doctor and patient.%“让群众能够就近享受优质医疗服务，构建和谐医患关系”是2014年国家医改向纵深发展提出的重要目标。在农村，由于适宜适用人才匮乏和适宜适用技术的缺乏，导致乡村两级医疗卫生服务供给不力，使农村居民距“就近享受优质医疗服务”的目标仍有很大距离。村级卫生人才的老化和乡镇卫生人才的不稳定使适宜适用技术的开展缺乏有效的载体；同时，培训体系的不健全和激励机制的不完善也制约了适宜适用技术进一步提高，这些问题对乡村两级医疗机构医患信任的构建产生了至关重要的影响。为了改变这种现状，既需要乡村两级卫生机构配置适宜适用的人才，也应同时建设起适宜适用的培训体系与考核机制，使医患之间重构信任，进而实现医患关系的和谐。