The Study Of Doctor-Patient Relationship And Behavior Based On Attribution Theory

Research BackgroundWith the development of society and technology,the overall quality of medical care in China has been continuously improved.However,the relationship between doctors and patients has not shown a trend of being more and more harmonious.On the contrary,it has become tenser and tenser.The violences of hurting even killing doctors break out frequently.The contradiction between doctors and patients has become one of the intense social problems in China.Many experts and scholars research on the topic of how to ease the contradiction between doctors and patients and how to build a harmonious doctor-patient relationship.Research ObjectivesFrom the perspective of sociology and psychology,this paper will have a deeper understanding of behaviors and psychology of doctors and patients,so as to propose specific measures which can provide useful information for easing the contradiction between doctors and patients and building a harmonious doctor-patient relationship.Research Methods1.Literature analysis method:Through systematic retrieval and combing the literature,to understand the research status of doctor-patient relationship at home and abroad,and provide theoretical basis and research basis for the research design of this topic.2.Field investigation method:Select the typical case tracking,observe the communication between doctors and patients,and provide the basis for designing the questionnaire.3.Questionnaire survey method:Based on the analysis of the literature,the concept model is proposed.In order to verIfy the research hypothesis in the model,207 doctors and 262 patients from a top three hospital in Guangzhou are selected through questionnaire survey.(1)Doctor Questionnaire:Doctors' basic information,doctors' cognition of communication,respect and care for patients' behavior,doctors'cognition of negative social opinion,doctors'cognition of doctor-patient relationship,doctors'cognition of defensive medical behavior.(2)Patient questionnaire:patients'basic information,patients'cognition of doctors' communication,respect and concern,patients'perception of doctors'negative public opinion,patients' perception of the status quo of doctor-patient relationship and patients'perception of their compliance with doctors' advice.4.Interview method:Based on the results of the questionnaire survey,a semi-structured interview was conducted with a doctor in a top three hospital in Guangzhou to analyze the reasons for the difference in doctor-patient evaluation.5.Statistical methods:Data processing and analysis were performed on the questionnaire using SPSS 20.0 and AMOS 24.0 software.Specific statistical methods include:descriptive statistics,demographic difference test,Pearson correlation analysis,and latent path analysis method.Research ResultDoctor questionnaire rusults1.Male doctors have higher evaluations of behavior during their own treatment.They are more susceptible to negative public opinion and inclined to choose medical defensive behaviors.2.The outpatient doctors rated their behavior and attitudes lower than the doctors of other departments.3.Emergency physicians have a low evaluation of doctor-patient relationship.4.Doctors believe that the scores of each dimension of their own behavior and attitudes have no significant effect on the status quo of doctor-patient relationship.5.Doctors are influenced by negative public opinion and have a negative effect on the evaluation of the current situation of doctor-patient relations.6.Doctors are influenced by negative public opinion and have a positive effect on the defensive medical behavior.Patient questionnaire rusults1.Patients aged 51 years and older scored significantly higher on doctors'communication behavior than those aged 21-30 and 31-40 years.2.Patients with low monthly income are more willing to follow the doctor's advice.3.Patients who have not experienced medical disputes have higher evaluation of doctors'behaviors durnng their diagnosis and treatment,and have higher scores on the status of doctor-patient relationship.4.Patients believe that the behavior and attitude of doctors has a positive effect on the status quo of doctor-patient relationship.5.Patients believe that doctors are influenced by negative public opinion and have a significant positive impact on the status quo of doctor-patient relationship.6.Patients believe that the behavior and attitude of doctors has a positive effect on their compliance with the doctor's advice.7.Patients believe that doctors are influenced by negative public opinion and have a significant positive impact on their compliance with the doctor's advice.8.The patient's evaluation of the status quo of the doctor-patient relationship has a significant positive impact on their compliance with the doctor's advice.Research ConclusionsDoctor group:1.Doctors generally believe that their behavioral attitudes are related to doctor-patient relationship,but they do not think that their behavioral attitudes can directly affect doctor-patient relationship.2.Doctors generally believe that negative public opinion directly affect doctor-patient relationship.3.The doctors'evaluation of the doctor-patient relationship do not affect their defensive medical behaviorPatient group:1.Patients generally believe that doctors',negative speech or behaviors directly affect doctor-patient relationship.2.patients generally believe that negative public opinion is not a factor that makes doctor-patient relationship become tenser.As vulnerable group,patients are more likely to get media attention.They think that media exposure helps to regulate doctors' behavior and helps to ease the doctor-patient relationship.3.Patients who have a more optimistic view of the doctor-patient relationship will have more compliant behaviors.