Study On The Information Dissymmetry Of Doctor-patient Relationship And Interactive Model In The Medical Service Process

The deficiency of the Doctor-patient Relationship under planned economy system was exposed gradually with the unceasing developing of the economy-society in our country and the in-depth reform and open. Now day's medical reformation in China is developed toward marketization step by step, hospital and doctor who's the direct provider of medical treatment service and the patient have constituted the supply and demand of medical treatment service together. Malfunction of the market system result in information dissymmetry state between doctor and patient is the most notable character of the Doctor-patient Relationship and it constitutes the main subject: analyze the Doctor-patient Relationship under the frame of information dissymmetry.ObjectiveAs a kind of special production, there have some asymmetric information in the process during medical treatment service providing. Those so called reversion phenomena such as low efficiency of medical treatment service, waste of medical treatment resource and Lack of Demand result in high medical treatment service price occur together because of the existing of asymmetric information. Studying on optimizing the adjustment of Doctor-patient information and the benign interactive mode of Doctor-patient Relationship based on information interaction does not only benefit to in-depth understanding the medical treatment service market but also be the basic foundation of establishing the management policy in the medical treatment service market. There are two objections of this research:①To analyze the requirement characteristic of Doctor- patient asymmetric information and the affection to medical service trading action result from it. To discuss the adjustment mechanism of medical service Information model between doctor and patient. To provide the theory elements for perfecting the policy of medical service market management.②To rise the theory about the conditions, strategy and appraise method of interaction effect of doctor-patient interactive model in medical service providing system. To provide the theory elements of establishing a benign doctor-patient interaction and the theory evidences and experiences for advance the medical service management of hospital by discussing the multilateral society intervene model.Data source and analyze methodThe article choose Shenzhen, Harbin, Wuhan and Huangshi as investigate object according to it's development level, region distributing and City scale. The investigated hospital include: Shenzhen Futian Hospital (public) and Boai Hospital (private) in Shenzhen, Harbin Medical University The 2nd affiliated Hospital (public) in Harbin, Xinhua Hospital (public) in Wuhan, Love & Health Hospital (private) in Huangshi. The investigate object include: patient, Administrative department and medical personnel of the hospital.In order to research the aspects of the requirement in doctor-patient information dissymmetry condition further and provide a reference for establishing the doctor-patient interactive model in medical service providing system, this research has used the questionnaire investigation to analyze the impressions of patients who has taken in the medical service between the hospital with different property right and get the information of social economics, Consumption psychology, medical service requirement and providing and the payout, cost, medical service desire of medical service expenses by interview the manager and medical personnel in medical service organization.Descriptive analyze: The mean and standard deviation of the computation data from questionnaire investigation.χ~2 test: Do diversity analyze between the basic information of patient and the reason of hospital choosing, the way to get the medical service information, the expectation to the service, both satisfactory and dissatisfactory part in the service; Do diversity analyze between the basic information of doctor and the understanding of the doctor about medical service information providing, doctor-patient relationship, the detail in the service.Logistic regression analyze of multi-order classification material: To find out the affection factor of the published content of hospital information to the satisfaction of both doctor and patient.All data is analyzed by SPSS for windows 13.0 Results of the research①Doctor-patient information dissymmetry results in the break of doctor-patient relationship directly.Firstly, it can be found through literature research that doctor-patient relationship is performed in economic interest relations, legal relations, ethics relations and social relations, the last three are researched more, the doctor-patient relationship in economic relations research is mainly performed in the interest chasing result from doctor-patient information dissymmetry. The characteristic of relative doctor-patient relationship is performed in dynamic, not equivalent and dissymmetry. The action model, divided in different grade of doctor-patient information dissymmetry is performed in three kinds: Initiative-passive, instruction–cooperation, participating and consulting together. The relationship, models, characteristic above were changed, and it directly affects the develop direction of doctor-patient relationship under market economy: more interest, legalization and more justice.Secondly, it has researched the information dissymmetry in both beforehand and afterwards by using the time it happened as evidence through discussing the reason of decreasing of credit between doctor and patient and increasing of Medical dispute. first, To consider the converse choice that was brought by information dissymmetry beforehand and the way of seeking the separate equilibrium through sending a signal, and exposed the deep-level reasons of the kind of special adverse selection called"Large-Scale Hospital choice with normal disease"in our country. Then analyze the moral risk caused by afterward information dissymmetry and try to narrate the low efficiency result in information dissymmetry.②research on the doctor-patient information requirement and actuality in the process of medical service providing.It can be found through the questionnaire investigation from Shenzhen, Harbin, Wuhan and Huangshi that different patient have different requirement of the drugs price, expert introduction, medical flow, important rules and regulations in hospital. At the same time, there has no difference about the expectation of medical service between doctor and patient and they have the same ideas of the importance of medical technology between doctor and patient, but totally tends to the same even there have some diversity in non-technical service such as service attitude, environment, humanities concern.The patients have the same expectation to the health no matter their age, years of schooling, occupation and month income; they firstly consider the disease curing and then are those such as service attitude, convenience service measure, positive and initiative humanities concern, rational and economical medical expense, the protection of privacy and right to know.From the analyze result of the investigation to doctor, it can be found that to the different Sex, age, years of schooling and month income there have no diversity in medical service providing, doctor-patient relationship promoting, ascertaining the details in medical service process. It means that the doctors have the same attitude of disease curing and patient health maintaining which are the duties of them.Conclusions of the researchIt need to establish a adjustment mechanism of information between doctor and patient under information dissymmetry and use the theory of CRM, gambling analysis , institutional,management to discusse the theory research of doctor-patient interactive model based on trusts and intercommunion, and give out some relative policy suggestion aim at the practical situation of our country which are good for alleviating the tense relations between doctor and patient, reduce the information gap between doctor and patient, promoting mutual trust and interaction between doctor and patient. It is an advance exploration to perfecting the service management in medical establishment and the macroscopically management of medical service market by excavating the power of doctor-patient interaction in the medical information way, providing the instruction and interpretation of the actuality and interaction of doctor-patient relationship in Information economics way.How to reduce the information gap during medical service process, increase the interactive trust between doctor and patient, promote doctor-patient interaction through theory and practice research under now days medical environment, which the information dissymmetry is existed objectively need a further discussion. And it need the regard and participation from government and the third party, such as publishing some relative policy to regulate the medical market, shorten the distance between doctor and patient, promote the equal intercommunion between doctor and patient.InnovationThe topic of this article is main aim at the realistic fact of doctor-patient relationship that under the asymmetry of medical serve information currently, on the base of theory and demonstration research, it gives a benign interactive mode of doctor-patient relationship under the asymmetry of medical serve information which has strong realistic significance.Firstly, on the method of it, which has regarded the supplier and demander of medical treatment as two subjects in game in the microcosmic way, explains the influence factors which under the asymmetry of medical serve information and gives solving project.Secondly, I introduce correlative academic knowledge which combines of economics, sociology, jurisprudence and ethnics analyze the influence factor of doctor-patient relationship which under the asymmetry of medical serve information, and then establish a adjustment model of information between doctor and patient.Lastly, through researching statistic characteristics of bargaining behavior between doctor and patient under different information distributing, I integrate the behavior theory of Economic man and Social man, then quote Customer Relationship Management (CRM), establish benign interactive mode of doctor-patient relationship under the asymmetry of medical serve information.