• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Developing world bioethics >The social practice of medical guanxiguanxi (personal connections) and patient–physician trust in China: an anthropological and ethical study
【24h】

The social practice of medical guanxiguanxi (personal connections) and patient–physician trust in China: an anthropological and ethical study

机译：医疗的社会实践 guanxi 关西（个人连接）和中国患者 - 医师信任：一个人类学和道德研究

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Abstract > In China's healthcare sector, a popular and socio‐culturally distinctive phenomenon known as guanxi jiuyi (medical guanxi ), whereby patients draw on their guanxi (personal connections) with physicians when seeking healthcare, is thriving. Integrating anthropological investigation with normative inquiry, this paper examines medical guanxi through the lens of patient–physician trust and mistrust. The first‐hand empirical data acquired – on the lived experiences and perspectives of both patients and physicians – is based on six months' fieldwork carried out in a county hospital in Guangdong, southern China, which included in‐depth interviews with 20 patients and 20 medical professionals. Patients who emphasized the positive effects of guanxi on patient–physician trust believed that it facilitates access to experienced medical specialists, enhances clinical communication, and reduces the financial and medical risks of over diagnosis and overtreatment by physicians. At the same time, these findings reveal patients' strong sense of mistrust, not only towards individual health professionals but also to the medical profession and China's commercialized healthcare industry. While some health professionals in the study responded favourably to medical guanxi , most were opposed to it on the grounds that it undermines professional standards and equitable healthcare. We found that the practice of medical guanxi is not morally justifiable, chiefly because it reinforces the present high levels of patient–physician mistrust and erodes trust between patients and the medical profession as a whole. In China, both the medical profession and the sta </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract XMLNS =“http://www.wiley.com/namespaces/wiley”type =“main”xml：id =“dewb12164-abs-abs-0001”> <标题类型=“main”>抽象</ title> <在中国的医疗部门，一个受欢迎的社会和社会文化鲜明的现象，称为关西九义</ i>（医疗冠西</ i>），患者在他们的关西</ i >在寻求医疗保健时的医生（个人连接）正在蓬勃发展。用规范查询整合人类学调查，本文通过患者医生信任和不信任的镜头检查医疗冠西</ i>。获得的第一手经验数据 - 关于患者和医生的生活经验和观点 - 基于中国南方广东省医院进行的六个月的实地，其中包括20名患者和20名患者的深入访谈医疗专业人士。强调关西的积极影响的患者对患者 - 医师的信任相信它有助于获得经验丰富的医疗专家，提高临床沟通，并降低了医生诊断和过度处理的金融和医疗风险。与此同时，这些调查结果揭示了患者强烈的不信任感，不仅对个别卫生专业人员而且还向医学界和中国商业化的医疗行业。虽然研究中的一些健康专业人士对医疗而有利地回应，但大多数人都反对它是它破坏了专业标准和公平医疗保健的理由。我们发现医疗的做法冠西</ i>在道德上是合理的，主要是因为它加强了当前高水平的患者医生不信任，患者与整个医学界之间的信任。在中国，医学界和STA </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-32947/'>《Developing world bioethics》</a> <b style="margin: 0 2px;">|</b><span>2018年第1期</span><b style="margin: 0 2px;">|</b><span>共11页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Zou Xiang&option=202" target="_blank" rel="nofollow">Zou Xiang;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Cheng Yu&option=202" target="_blank" rel="nofollow">Cheng Yu;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Nie Jing‐Bao&option=202" target="_blank" rel="nofollow">Nie Jing‐Bao;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/5696.html" title="医学伦理学">医学伦理学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=clinical ethics&option=203" rel="nofollow">clinical ethics;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=guanxi (personal connections)&option=203" rel="nofollow">guanxi (personal connections);</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=medical guanxi&option=203" rel="nofollow">medical guanxi;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=patient–physician relationship&option=203" rel="nofollow">patient–physician relationship;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=trust and mistrust&option=203" rel="nofollow">trust and mistrust;</a> </p> <div class="translation"> 机译：临床伦理;关西（个人联系）;医学冠西;患者 - 医师关系;信任和不信任; </div> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> <li >中文文献</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704025207323.html">The social practice of medical <i xmlns="http://www.wiley.com/namespaces/wiley">guanxiguanxi (personal connections) and patient–physician trust in China: an anthropological and ethical study</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Zou Xiang&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Zou Xiang,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Cheng Yu&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Cheng Yu,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Nie Jing‐Bao&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Nie Jing‐Bao </a> <a href="/journal-foreign-32947/" target="_blank" rel="nofollow" class="tuijian_authcolor">Developing world bioethics .</a> <span>2018</span><span>,第1期</span> </span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：医疗的社会实践<i xmlns =“http://www.wiley.com/namespaces/wiley”> guanxi </ i>关西（个人连接）和中国患者 - 医师信任：一个人类学和道德研究</span> </p> </li> <li> <div> <b>2. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704025814989.html">Raman study of HoFe <sub xmlns="http://www.wiley.com/namespaces/wiley">3</sub>3 (BO <sub xmlns="http://www.wiley.com/namespaces/wiley">3</sub>3 ) <sub xmlns="http://www.wiley.com/namespaces/wiley">4</sub>4 at simultaneously high pressure and high temperature: <i xmlns="http://www.wiley.com/namespaces/wiley">pp – <i xmlns="http://www.wiley.com/namespaces/wiley">TT phase diagram</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Krylov A. S.&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Krylov A. S.,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Gudim I. A.&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Gudim I. A.,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Nemtsev I.&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Nemtsev I.,</a> <a href="/journal-foreign-35645/" target="_blank" rel="nofollow" class="tuijian_authcolor">Journal of Raman Spectroscopy: An International Journal for Original Work in All Aspects of Raman Spectroscopy, Including Higher Order Processes, and Also Brillouin- and Rayleigh Scattering .</a> <span>2017</span><span>,第11期</span> </span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：Hofe <sub xmlns =“http://www.wiley.com/namespaces/wiley”> 3 </ sub> 3（bo <sub xmlns =“http://www.wiley.com/namespaces/wiley “> 3 </ sub> 3）<sub xmlns =”http://www.wiley.com/namespaces/wiley“> 4 </ sub> 4同时高压和高温：<i xmlns =”http： //www.wiley.com/namespaces/wiley"> pupe pupe//i menp - <i xmlns =“http://www.wiley.com/namespaces/wiley”> t </ i> t相图</span> </p> </li> <li> <div> <b>3. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704023656480.html">Pennsylvanian– <fc xmlns="http://www.wiley.com/namespaces/wiley">early</fc>early <fc xmlns="http://www.wiley.com/namespaces/wiley">Permian</fc>Permian palaeokarst development on the <fc xmlns="http://www.wiley.com/namespaces/wiley">Yangtze</fc>Yangtze Platform, <fc xmlns="http://www.wiley.com/namespaces/wiley">South China</fc>South China , and implications for the regional sea‐level history</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Huang Xing&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Huang Xing,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Aretz Markus&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Aretz Markus,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Zhang Xionghua&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Zhang Xionghua,</a> <a href="/journal-foreign-24890/" target="_blank" rel="nofollow" class="tuijian_authcolor">Geological Journal .</a> <span>2018</span><span>,第4期</span> </span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：宾夕法尼亚州 - <FC XMLNS =“http://www.wiley.com/namespaces/wiley”>早期</ fc>早期<fc xmlns =“http://www.wiley.com/namespaces/wiley”> pemian < / fc> palaeokarst在<fc xmlns =“http://www.wiley.com/namespaces/wiley”> yangtze </ fc> yangtze平台上，<fc xmlns =“http://www.wiley.com /名称空间/ Wiley“>华南</ FC>华南，对区域海平历史的影响</span> </p> </li> <li> <div> <b>4. </b><a class="enjiyixqcontent" href="/academic-journal-foreign-pmc_detail_thesis/040005538371.html">African Migrant Patients’ Trust in Chinese Physicians: A Social Ecological Approach to Understanding Patient-Physician Trust</a> <b>[O] </b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Megan M. McLaughlin&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Megan M. McLaughlin,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Louis Simonson&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Louis Simonson,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Xia Zou&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Xia Zou,</a> <span>-1</span> </span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：非洲移徙患者对中国医师的信任：一种理解患者-医师信任的社会生态学方法</span> </p> </li> <li> <div> <b>5. </b><a class="enjiyixqcontent" href="/open-access_resources_thesis/0100095630008.html ">African migrant patients' trust in Chinese physicians: a social ecological approach to understanding patient-physician trust.</a> <b>[O] </b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Megan M McLaughlin&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Megan M McLaughlin,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Louis Simonson&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Louis Simonson,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Xia Zou&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Xia Zou,</a> <span>2015</span> </span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：非洲移民患者对中国医生的信任：了解患者 - 医生信任的社会生态学方法。</span> </p> </li> </ul> <ul style="display: none;"> <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/academic-journal-cn_detail_thesis/0201297089515.html">医疗保险个人账户机制创新及其可行性研究——基于患者道德风险的分析</a> <b>[J]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=向书坚&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 向书坚</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=李锐&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,李锐</a> <span> <a href="/journal-cn-57161/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 数理统计与管理 </a> </span> <span> . 2007</span><span>,第3期</span> </span> </div> </li> <li> <div> <b>2. </b><a class="enjiyixqcontent" href="/academic-conference-cn_meeting-26106_thesis/020221550985.html">医疗保险个人账户机制创新及其可行性研究——基于患者道德风险的分析</a> <b>[C]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=向书坚&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 向书坚</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=李锐&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,李锐</a> <span> <a href="/conference-cn-26106/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 第十三次全国统计科学讨论会 </a> <span> <span> . 2005</span> </span> </div> </li> </ul> </div> </div> </div> <div class="theme cardcommon" style="overflow: auto;display:none"> <h3 class="all_title" id="enpatent55">相关主题</h3> <ul id="subject"> </ul> </div> </div> </div> </div> <div class="right rightcon"> <div class="details_img cardcommon clearfix" style="margin-bottom: 10px;display:none;" > </div> </div> </div> <div id="thesis_get_original1" class="downloadBth" style="bottom: 19px;z-index: 999;" onclick="ywcd('0704025207323','4',7,2,1,'',this,24)" class="delivery" prompt="010401" title="通过人工服务将文献原文发送至邮箱" >获取原文</div> <div class="journalsub-pop-up" style="display: none"> <div class="journal-sub"> <h2>期刊订阅</h2> <img src="https://cdn.zhangqiaokeyan.com/img/loginclose.png" alt="" onclick="$('.journalsub-pop-up').hide()"> <p class="pardon">抱歉，该期刊暂不可订阅，敬请期待！</p> <p class="current">目前支持订阅全部北京大学中文核心（2020）期刊目录。</p> <div style="display: flex;margin-top: 69px;justify-content: space-between;"> <div class="no-sub" onclick="$('.journalsub-pop-up').hide()">暂不订阅</div> <div class="other-sub" onclick="continueSub('from=pc-detail')">继续订阅其他期刊</div> </div> </div> </div> <div class="right_btn"> <ul> <li class="gouwuche"> <!-- <a href="javascript:void(0);" onclick="link_analysis('/shoppingcart/auth/list.html',this)">购物车</a>--> </li> <li class="yijian"> <a href="javascript:void(0);" onclick="link_analysis('/mycenter/auth/complaint.html',this)">意见反馈</a> </li> <li class="top"> <a href="javascript:scrollTo(0,0);">回到顶部</a> </li> <li class="shouye"> <a href="/">回到首页</a> </li> </ul> </div> <div class="xllindexfooter"> <div class="xllindexfootercenter"> <div class="xllindexfooterleft left" > <div class="xllindexfooterleftli"> <ul> <li><a href="/about.html">关于掌桥</a></li> <li><a href="/help/helpmap.html">资源导航</a></li> <li><a href="/help/helpguide.html">新手指南</a></li> <li><a href="/help/helpcenter.html">常见问题</a></li> <li><a href="/sitemap.html">网站地图</a></li> <li><a href="/help/helpcenter.html?type=9">版权声明</a></li> </ul> </div> <div class="xllindexfooterleft"> <p class="xllindexfooterlefteamil">客服邮箱：kefu@zhangqiaokeyan.com</p> <div class="xllindexfooterlefttcp"> <div class="xllindexfooterpoliceiimg"></div> <div class="xllindexfooterpoliceispan"> <span>京公网安备：11010802029741号 </span> <span>ICP备案号：<a href="https://beian.miit.gov.cn" rel="nofollow" target="_blank">京ICP备15016152号-6</a></span> <span>六维联合信息科技 (北京) 有限公司©版权所有</span> </div> </div> </div> </div> <div class="xllindexfooterright left"> <ul> <li> <p style="font-weight: bold;">客服微信</p> <div></div> </li> <li> <p style="font-weight: bold;">服务号</p> <div></div> </li> </ul> </div> </div> </div> <span id="0704025207323down" data-source="7," data-out-id="a8JeG9e5O3QFgdSYZ70Fsg==," data-f-source-id="7" data-title="The social practice of medical <i xmlns='http://www.wiley.com/namespaces/wiley'>guanxiguanxi (personal connections) and patient–physician trust in China: an anthropological and ethical study" data-price="20" data-site-name="" data-transnum="24" style="display:none;"></span> <input type="hidden" value="4" id="sourcetype"> <input type="hidden" value="32947" id="journalid"> <input type="hidden" value="1" id="inyn_provide_service_level"> <input type="hidden" value="https://cdn.zhangqiaokeyan.com" id="imgcdn"> <input type="hidden" value="1" id="isdeatail"> <input type="hidden" value="" id="syyn_indexed_database"> <input type="hidden" value="" id="servicetype"> <input type="hidden" id="pagename" value="The social practice of medical <i xmlns='http://www.wiley.com/namespaces/wiley'>guanxiguanxi (personal connections) and patient–physician trust in China: an anthropological and ethical study"/> <input type="hidden" value="thesis_get_original" id="pageIdentification"> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/jquery-1.12.4.js"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/common/lwlh_ajax.js"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/zq.js?v=5.7.7"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/common/common.js?v=5.7.7"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/jquery.cookie.js"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/top.js?v=5.7.7"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/common/tip.js?v=5.7.7"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/common/login.js?v=5.7.7"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/common/down.js?v=5.7.7"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/common/search.js?v=5.7.7"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/searchtype.js?v=5.7.7"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/user/regist.js?v=5.7.7"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/zxs_solor/detail.js?v=5.7.7"></script> <script type="text/javascript" src="https://www.zhangqiaokeyan.com/statistics/static/pagecollection.js"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/tj.js"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/pushbaidu.js"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/common/history.js"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/util/cookie.js?v=5.7.7"></script> <script type="text/javascript" src="https://cdn.zhangqiaokeyan.com/js/weipu/weipu.js?v=5.7.7"></script> </body> <script> $(function(){ var weiPuStatus = getCookie('WeiPuStatus'); if(weiPuStatus){ tipWeiPuStatus(weiPuStatus); delCookie('WeiPuStatus'); } getFacetKeywordVoInId(); var sourcetype = $("#sourcetype").val(); var inyn_provide_service_level = $("#inyn_provide_service_level").val(); if((sourcetype ==1||sourcetype==4)&&inyn_provide_service_level!=4){ getJournal(); } }) </script> </html>