A Study On The Cognitive Investigation Of New Medical Reform Between Doctors And Patients In Jiangsu Province

Objective: To understand the cognitive status of doctors and patients on medical reform since the implementation of the new medical reform,analyze the main factors influencing the cognitive status of doctors and patients,and explore the causes of cognitive differences.Through comparative studies,we can further understand the demands of doctors and patients,strengthen the overall management of hospitals,promote the further improvement of the medical service system,and implement effective incentive policies to make the utilization of medical resources and the quality of medical services more compatible with the expectations of patients and potential patients,so as to improve people's livelihood and maintain social harmony and stability.This paper analyzes and studies the subjective evaluation and understanding of doctors and patients in Jiangsu province on the new medical reform measures,and deeply understands the current status of the new medical reform,so as to provide a reference basis for formulating medical reform policies,especially policies and measures with Jiangsu characteristics and in line with the actual situation of medical reform.Methods: This research uses the literature inquiry and the questionnaire to carry on the comparative analysis research.Through the database of domestic and foreign journals,doctoral thesis and related books for literature query,collect relevant information,research and summary of the literature,select the relevant important information for induction and analysis,And the analysis results into the research framework design and questionnaire.Stratified random sampling was carried out in 7cities in Jiangsu Province.One tertiary hospital and one second-level hospital wereselected for questionnaire survey in each city.A total of 14 clinical doctors and patients in general hospitals were selected as the objects of investigation.A total of674 clinicians were investigated.1263.The double input operation of data is carried out by EPidata3.1,the data is preliminarily arranged by office software,the descriptive statistical analysis is carried out by SPSS20.0,the chi-square test and the Mann-Whitney U test are used to compare the rate of data,and the single factor analysis is used to analyze the influencing factors,logistic regression analysis was used to analyze the influencing factors.Results: On the understanding of the focus of the new medical reform government,there is a significant difference between doctors and patients.72% of the doctors think that the workload has increased since the new medical reform.42.3% of the doctors think that the income has not changed.59.3% of the patients think that the proportion of reimbursement of the current medical insurance system is relatively low.It is considered that the reimbursement process of medical insurance is more complicated,and the patients who need to be solved urgently account for26.7%.Doctors,as medical personnel who have direct contact with patients,have a certain right to speak on the evaluation of the relationship between doctors and patients.The patients are better than the doctors in terms of the relationship between doctors and patients,the difficulty of seeing a doctor and the problem of whether or not the cost of seeing a doctor has improved.Both doctors and patients can feel good changes in the implementation and environment of medical insurance system,the construction of hardware facilities,the quality of medical treatment and the effect of medical ethics construction.The patients who thought that the quantity of prescribing drugs was too much and on the side was 23.5%.There are statistical differences between doctors and patients in grading diagnosis and treatment,medical conjoined construction and family doctor contract service.Conclusion: Both doctors and patients have a certain degree of understanding of the new medical reform policy.Cognitive level and evaluation are different in different regions,different groups of doctors and patients,as well as doctors and patients.It is suggested that we should correctly understand the cognitive differences of different population groups,pay attention to the cognitive differences between different regions and hospitals,pay attention to the construction of pediatrician team,pay attention to the rights and interests of medical personnel,and appropriately increase the labor income of medical personnel.Pay attention to relieve the physical and mental pressure of medical staff;the demands of formal patients for medical insurance and medicine;as a whole,promote graded diagnosis and treatment,medical conjoined construction and family doctor contract service.