Research On Doctor-patient Relationship Based On The Psychological Contract

The psychological contract is proposed by the American psychologist Argyris in the 1960 of the 20 th century, was first used to describe employees and the companies are unwritten, implicit contract or mutual expectations, it was defined as beliefs of employees and enterprises of mutual responsibility, embodied as the subject of mutual obligations agreed by the parties. With domestic scholars on the psychological contract theory concerns the degree of warming, psychological contract has been psychology, management, organizational behavior, sociology, political science and other research. But the vast majority of scholars view one-way view of the followed American School Rousseau, focuses on the perspective in the study of for-profit organizations, and most only involve employees or employees of unilateral contract dimensions.This two-way perspective of psychological contract research by British scholars such as Anderson and Schalk, that of psychological contract the main parties are committed to each other and mutual benefit, that psychological contract refers to medical doctors and patients in mutual relations with patients is providing responsibility for each other's understanding and awareness, including the contents of all three dimensions in two ways. To easy carried out empirical research, through analysis both at home and abroad research results, reference has American scholar Rousseau D(1998,2000) prepared of psychological contract questionnaire, the British scholars Lee.C&Tinsley CH(1999) prepared of new employees psychological contract survey questionnaire and China scholars Chen Jiazhou(2003), and Li Yuan(2002) in research in the using of questionnaire, prepared has medical party and patient party psychological contract survey questionnaire, in Wuhan?Beijing and Guiyang, area of hospital, There were 421 responses, the use of factor analysis, t-test, single-factor analysis of variance methods, empirical research on the points raised by this study.To further description medical patient both on psychological contract expects and perception of relationship, this research proposed has medical patient both expects perception exists differences, and medical patient both expects are above perception, and medical patient both psychological contract in content Shang exists similarities and differences, and medical patient both psychological contract expects and perception the dimension degrees exists difference this five items assumed, using questionnaire survey collection of data empirical validation has these assumed.Empirical research results showed that: medical patient psychological contract can from two party responsibility the three a dimension degrees for explained, that medical party responsibility and patient party responsibility, this two party responsibility are their contains has reality dimension degrees, and development dimension degrees, and relationship dimension degrees this three a dimension degrees, this a conclusion in past II dimension structure based Shang has expand, and paper research results support has Lee and Li Yuan, proposed of China culture background psychological contract of three dimensional structure theory. Demographic variables on the psychological contract doctors and patients hope that perception has a different effect. Doctors and patients between the various dimensions of psychological contract in the expectations and perceptions of level differences, more emphasis on hospital patients ' psychological contract relationship dimensions in the implementation of State responsibility, while the patient is more emphasis on psychological contract dimension of reality in the implementation of State responsibility, both doctors and patients to their psychological contract expectations are far higher than the perception of psychological contract. Through empirical research findings found that between doctors and patients in the psychological contract expected in various different consideration and attention focused on the two sides, make recommendations and improvement measures, imposed on the doctor-patient relationship "heart" regulation to ensure harmonious development of psychological contract relationship between doctor and patient.This study not only attracted domestic and foreign research on psychological contract, introduction of psychological contract theory in study on relationship between doctor and patient, and can expand the vision of the doctor-patient relationship, between doctors and patients has important influence in improving the relationship between doctors and patients, and health management organizations for our scientifically formulated related policies provide a valuable reference.