PDF(Pubmed)
Abstract：
Background: Doctor-patient relationship (DPR) is very important for patient outcomes, especially during a public health emergency like the COVID-19 pandemic. However, few studies have evaluated DPR and related sentiments from medical professionals\' perspectives. Thus, the aim of the study is to provide a better understanding of DPR from medical professionals\' perspectives during the COVID-19 pandemic in China. Methods: A total of 979 medical professionals, including doctors, nurses, technicians, and other workers have completed a series of questionnaires to evaluate their attitudes toward DPR, trust, violence against doctors, factors that affected and improved DPR, and the importance of these factors on DPR. Analyses of variances (ANOVA) and linear regressions were used to analyze the effects of the pandemic, demographic variables, and various elements on DPR. Results: One-way ANOVA revealed a significant effect of education on recent DPR [F (2, 976) = 6.17, p < 0.001 and trust at F (2, 976) = 9.54, p < 0.001], indicating that individuals with higher level of education (bachelor\'s degree, Master\'s degree and above) showed poorer recent DPR and lower level of trust. The level of hospital also showed a significant effect on trust [F (5, 973) = 3.79, p = 0.0021]. Cochran\'s Q test revealed a significant difference in factors that affected [Q(11) = 3,997.83, p < 0.001] and improved [Q(8) = 3,304.53, p < 0.001] DPR. Backward stepwise linear regressions revealed predictors for changes during [F (9, 969) = 21.17, p < 0.001, R 2 = 0.16], shortly after [F (7, 971) = 54.98, p < 0.001, R 2 = 0.28], and long after [F (10, 968) = 37.83, p < 0.001, R 2 = 0.29] the pandemic. Conclusions: Medical professionals\' perceptions of DPR is important as they provide basis for the improvement in working environment of medical professionals and hospital visiting experience of patients, as well as healthcare policy making and preparation for future public health emergencies.
摘要：
背景：医患关系（DPR）对患者预后非常重要，特别是在像COVID-19大流行这样的公共卫生紧急情况下。然而,很少有研究从医学专业人员的角度评估DPR和相关情绪。因此，该研究的目的是在中国COVID-19大流行期间，从医学专业人员的角度更好地了解DPR。方法:979名医务人员,包括医生,护士,技术人员,和其他工人已经完成了一系列的问卷调查，以评估他们对DPR的态度，信任,对医生的暴力行为,影响和改善DPR的因素，以及这些因素对DPR的重要性。方差分析(ANOVA)和线性回归分析大流行的影响，人口统计学变量，以及DPR上的各种元素。结果：单因素方差分析显示，教育对近期DPR有显著影响[F(2,976)=6.17，p<0.001，信任在F(2,976)=9.54，p<0.001]，表明具有较高教育水平的个人(学士学位，硕士学位及以上）显示出最近的DPR较差，信任度较低。医院水平对信任也有显著影响[F(5,973)=3.79,p=0.0021]。Cochran的Q检验表明，影响[Q（11）=3,997.83，p<0.001]和改善[Q（8）=3,304.53，p<0.001]DPR的因素存在显着差异。反向逐步线性回归揭示了[F(9，969)=21.17，p<0.001，R2=0.16]期间变化的预测因子，在[F(7，971)=54.98，p<0.001，R2=0.28]后不久，在[F(10，968)=37.83，p<0.001，R2=0.29]大流行后很久。结论：医务人员对DPR的看法很重要，因为它们为改善医务人员的工作环境和患者的就诊经验提供了依据。以及医疗政策的制定和未来突发公共卫生事件的准备。
