The Structure Of Doctor-Patient Psychological Contract And Its Influence On Patient Trust

With the continuous development of the medical service industry and the improvement of people's material living standards,people's health needs are becoming more and more intense,and the requirements for the medical service industry are getting higher and higher.In order to adapt to the current people's health needs,China's medical system is also undergoing continuous reforms,but medical resources are still scarce resources.People are difficult to get medical service,expensive to get medical service,and dissatisfied with the efficacy.The doctor-patient relationship is also becoming more and more tense in this year.On the one hand,the doctors think that their efforts are not recognized by the patients,and the patients do not fully follow the treatment plan of the doctors.On the other hand,the patients think that the professional skills and attitudes of the doctors do not meet their expectations,which leads to the differences in the cognition of the psychological contract structure between the doctors and the patients.This paper starts with the theory of Psychological Contract,analyzes the Psychological Contract structure of doctors and patients by means of empirical analysis,and studies the influence of medical responsibility on the trust of patients in the Psychological Contract structure of doctors and patients.The research aimed to identify medical questionnaires and patients in public hospitals in Chengdu,Sichuan,through questionnaire analysis,conduct questionnaire surveys,and analyze the collected 370 valid questionnaires,and draw corresponding conclusions.In this study,the Psychological Contract of doctors and patients is divided into doctor's responsibility and patient's responsibility.The doctor's responsibility is divided into two factors through exploratory factor analysis.According to the characteristics of the factor,the two factors are named as Transaction Responsibility and Development Relationship Responsibility.Patient's responsibility includes two factors,named Respect Responsibility and Obedience Responsibility.Patient's trust also includes two factors,named Technical Trust and Relationship Trust.The data is tested and the results show that the data has good reliability and validity.The difference analysis shows that there are differences in the cognition of the structure of psychological contract between doctors and patients,and there are significant differences in the perception of transaction responsibility,relationship responsibility,obedience responsibility and respect responsibility between doctors and patients.The sensitivity of the transaction responsibility and relationship responsibility of the medical party is higher than that of the patient,and the patient's perception of the obedience responsibility and respect responsibility of the patient is higher than that of the doctor.The regression analysis shows that the transaction responsibility of medical party has a significant positive impact on patients' technical trust,and the transaction responsibility and relationship responsibility have a significant positive impact on patients' relationship trust.On the basis of empirical research,this paper puts forward relevant countermeasures and suggestions,and hopes to contribute to building a harmonious and healthy doctorpatient relationship and create a good medical environment,and to provide reference for the reform of the new medical system to create greater social value.