• 四川大學(xué)華西醫(yī)院（成都 610041）;

目的　 了解當(dāng)前影響醫(yī)患關(guān)系的主要因素，為構(gòu)建和諧醫(yī)患關(guān)系提供決策依據(jù)。
方法　 隨機(jī)抽取2003～2006年四川大學(xué)華西醫(yī)院病案科微機(jī)儲存、地址明確的出院患者，每年各2000例，采用自擬問卷，以信訪方式進(jìn)行調(diào)查。
結(jié)果　 4年共發(fā)出問卷8000份，收回2526份，回收率31.57%。調(diào)查結(jié)果顯示，非醫(yī)療因素已成為影響醫(yī)患關(guān)系的最主要因素（占91.8%），醫(yī)療費用和醫(yī)患溝通的問題也十分突出，分別占21.5%和11.51%。
結(jié)論　 醫(yī)院應(yīng)針對影響因素，提升管理水平，重視對非醫(yī)療人員的培訓(xùn)管理，嚴(yán)格費用管理，改進(jìn)醫(yī)患溝通。

引用本文： 周亮,周瑞敏. 醫(yī)患關(guān)系影響因素調(diào)查. 中國循證醫(yī)學(xué)雜志, 2007, 07(11): 778-781. doi: 復(fù)制

版權(quán)信息： ?四川大學(xué)華西醫(yī)院華西期刊社《中國循證醫(yī)學(xué)雜志》版權(quán)所有，未經(jīng)授權(quán)不得轉(zhuǎn)載、改編

1. Wang CQ. The application of evidence-based medicine in the construction of harmonious doctor-patient ralationship. Medicine And Pjilosophy (Humanistic & Social Medicine Edition), 2006, 27(12): 24-25.
2. Ji JS. The analyse of patient complain for 368 cases. Chinese Journal of Hospital Administration, 1999, 15(1): 47-48.
3. Xu YH, Zhu LZ. Rebuilding doctor-patient trust in the case of unbalanced grasp of information. Chinese Journal of Hospital Administration, 2004, 20(3): 167-169.
4. Li PF, Wang DH, Zheng JH. Price controls of health service and the system of underpaid doctors compensated by the excessive medical expense. South Economic, 2006, 8: 68-76.
5. Tian FM, Han CG, Fu MF, et al. Several impairing factors and countermeasures on the harmonious doctor-patient relation. Chinese Hospital Management, 2006, 26(12): 82-84.
6. Song H, Song LT, Huang T, et al. Multidimensional reflections on the current situation of the physician-patient relationship. Chinese Journal of Hospital Administration, 2003, 19(9): 517-519.
7. Liu GX, Zhao WY. Dialectic research for harmonious doctor-patient relationship. Chinese Journal of Hospital Administration, 2005, 21(7): 502.
8. 王長青. 循證醫(yī)學(xué)在構(gòu)建和諧醫(yī)患關(guān)系中的應(yīng)用, 醫(yī)學(xué)與哲學(xué) (人文社會醫(yī)學(xué)版), 2006, 27(12): 24-25.
9. Prim I, Pras B. “Friendly” complaining behaviors: toward a ralational approach. Journal of Market Focused Management, 1999, (3): 333-352.
10. Marquis M, Filiatrault P. Understanding complaining responses through consumers’ self-consciousness dispostion. Psychology & Marketing, 2002, 19(3): 267-292.
11. 姬軍生. 368例病人投訴情況分析. 中華醫(yī)院管理雜志, 1999, 15(1): 47-48.
12. 徐淵洪, 朱亮真. 信息不對稱下醫(yī)患信任的重構(gòu). 中華醫(yī)院管理雜志, 2004, 20(3): 167-169.
13. 李鵬飛, 汪德華, 鄭江淮. 醫(yī)療服務(wù)價格管制與“以藥養(yǎng)醫(yī)”, 南方經(jīng)濟(jì), 2006, 8: 68-76.
14. 田滏明, 韓晨光, 付茂峰, 等. 醫(yī)患關(guān)系的影響因素與對策, 中國醫(yī)院管理, 2006, 26(12): 82-84.
15. 宋華, 宋蘭堂, 黃濤, 等. 對醫(yī)患關(guān)系現(xiàn)狀的多維思考. 中華醫(yī)院管理雜志, 2003, 19(9): 517-519.
16. 劉國祥, 趙萬一. 構(gòu)建和諧醫(yī)患關(guān)系的辯證思考. 中華醫(yī)院管理雜志, 2005, 21(7): 502.
17. Shostack GL. Planning The Service Encounter. In: Czepiel Ja, Solomon Mr, Surprenant CF, et al. The Service Encounter. Lexington, MA: Lexington Books, 1985. 243-254.
  1. 1. Wang CQ. The application of evidence-based medicine in the construction of harmonious doctor-patient ralationship. Medicine And Pjilosophy (Humanistic & Social Medicine Edition), 2006, 27(12): 24-25.
  2. 2. Ji JS. The analyse of patient complain for 368 cases. Chinese Journal of Hospital Administration, 1999, 15(1): 47-48.
  3. 3. Xu YH, Zhu LZ. Rebuilding doctor-patient trust in the case of unbalanced grasp of information. Chinese Journal of Hospital Administration, 2004, 20(3): 167-169.
  4. 4. Li PF, Wang DH, Zheng JH. Price controls of health service and the system of underpaid doctors compensated by the excessive medical expense. South Economic, 2006, 8: 68-76.
  5. 5. Tian FM, Han CG, Fu MF, et al. Several impairing factors and countermeasures on the harmonious doctor-patient relation. Chinese Hospital Management, 2006, 26(12): 82-84.
  6. 6. Song H, Song LT, Huang T, et al. Multidimensional reflections on the current situation of the physician-patient relationship. Chinese Journal of Hospital Administration, 2003, 19(9): 517-519.
  7. 7. Liu GX, Zhao WY. Dialectic research for harmonious doctor-patient relationship. Chinese Journal of Hospital Administration, 2005, 21(7): 502.
  8. 8. 王長青. 循證醫(yī)學(xué)在構(gòu)建和諧醫(yī)患關(guān)系中的應(yīng)用, 醫(yī)學(xué)與哲學(xué) (人文社會醫(yī)學(xué)版), 2006, 27(12): 24-25.
  9. 9. Prim I, Pras B. “Friendly” complaining behaviors: toward a ralational approach. Journal of Market Focused Management, 1999, (3): 333-352.
  10. 10. Marquis M, Filiatrault P. Understanding complaining responses through consumers’ self-consciousness dispostion. Psychology & Marketing, 2002, 19(3): 267-292.
  11. 11. 姬軍生. 368例病人投訴情況分析. 中華醫(yī)院管理雜志, 1999, 15(1): 47-48.
  12. 12. 徐淵洪, 朱亮真. 信息不對稱下醫(yī)患信任的重構(gòu). 中華醫(yī)院管理雜志, 2004, 20(3): 167-169.
  13. 13. 李鵬飛, 汪德華, 鄭江淮. 醫(yī)療服務(wù)價格管制與“以藥養(yǎng)醫(yī)”, 南方經(jīng)濟(jì), 2006, 8: 68-76.
  14. 14. 田滏明, 韓晨光, 付茂峰, 等. 醫(yī)患關(guān)系的影響因素與對策, 中國醫(yī)院管理, 2006, 26(12): 82-84.
  15. 15. 宋華, 宋蘭堂, 黃濤, 等. 對醫(yī)患關(guān)系現(xiàn)狀的多維思考. 中華醫(yī)院管理雜志, 2003, 19(9): 517-519.
  16. 16. 劉國祥, 趙萬一. 構(gòu)建和諧醫(yī)患關(guān)系的辯證思考. 中華醫(yī)院管理雜志, 2005, 21(7): 502.
  17. 17. Shostack GL. Planning The Service Encounter. In: Czepiel Ja, Solomon Mr, Surprenant CF, et al. The Service Encounter. Lexington, MA: Lexington Books, 1985. 243-254.