The development of patient trust evaluation index system based on the hierarchical medical system_Chinese Journal of Evidence-Based Medicine

Authors：

TAO Wenjuan ,  WEN Jin , YAN Ling , ZENG Wenqi

Hospital Management Institute, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

WEN Jin, Email: huaxiwenjin@163.com

Keywords：

Hierarchical medical system; Patient trust; Index system; Delphi method

DOI：

10.7507/1672-2531.201807104

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objectives To construct patient trust evaluation index system based on the background of hierarchical medical system, and to provide reference for the evaluation of the degree of patient trust on medical institutions and offer guidence to the implementation and further improvement of the hierarchical medical policy in China. Methods Based on literature review, the modified Delphi method was used to carry out 2 rounds of expert consultations from 11 experts in different fields to determine the indicators of patient trust evaluation index system. Results Questionnaire recovery rates of 2 rounds were 100.00% and 90.91%, the expert authority coefficient was greater than 0.75, the coefficient of variation of each index was less than 0.25, and the coordination coefficient of experts in the total index were 0.236 and 0.424 (P<0.001). Patient trust evaluation index system was preliminary constructed including medical environment, service trust, technical skills, pharmaceutical and equipment, the overall trust 5 first-level indexes and 20 level two indexes. Conclusions The patient trust evaluation index system can be used to evaluate patients' trust in different levels of medical institutions under the hierarchical medical system.

Citation： TAO Wenjuan, WEN Jin, YAN Ling, ZENG Wenqi. The development of patient trust evaluation index system based on the hierarchical medical system. Chinese Journal of Evidence-Based Medicine, 2018, 18(8): 802-806. doi: 10.7507/1672-2531.201807104 Copy

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5.	卢秋颖. 某三甲医院职能部门绩效评价指标体系的研究与建立. 北京: 北京中医药大学, 2016.
6.	杜文雯, 付俊杰, 苏畅, 等. 德尔菲法在"营养教育效果综合评价问卷"制定中的应用. 中国健康教育, 2010, (4): 250-253.
7.	曾光. 现代流行病学. 北京: 气象出版社, 2002.
8.	程琮, 刘一志, 王如德. Kendall协调系数W检验及其SPSS实现. 泰山医学院学报, 2010, 31(7): 487-490.
9.	杨志勇. 基于德尔菲法的艾滋病防治专项支出绩效考评指标体系构建. 中国农村卫生事业管理, 2014, 34(6): 644-647.
10.	Xiao J, Douglas D, Lee AH, et al. A Delphi evaluation of the factors influencing length of stay in Australian hospitals. Int J Health Plann Manage, 1997, 12(3): 207-218.
11.	Anderson LA, Dedrick RF. Development of the trust in physician scale: a measure to assess interpersonal trust in patient-physician relationships. Psychol Rep, 1990, 67(3 Pt 2): 1091-1100.
12.	Hall MA, Zheng B, Dugan E, et al. Measuring patients' trust in their primary care providers. Med Care Res Rev, 2002, 59(3): 293-318.
13.	Straten GF, Friele RD, Groenewegen PP. Public trust in Dutch health care. Soc Sci Med, 2002, 55(2): 227-234.
14.	van der Schee E, Braun B, Calnan M, et al. Public trust in health care: a comparison of Germany, The Netherlands, and England and Wales. Health Policy, 2007, 81(1): 56-67.
15.	Kao AC, Green DC, Zaslavsky AM, et al. The relationship between method of physician payment and patient trust. JAMA, 1998, 280(19): 1708-1714.

1. 谢宇, 于亚敏, 佘瑞芳, 等. 我国分级诊疗发展历程及政策演变研究. 中国医院管理, 2017, 37(3): 24-27.
2. 国务院办公厅. 国务院办公厅关于推进分级诊疗制度建设的指导意见. Available at: http://www.gov.cn/zhengce/content/2015-09/11/content_10158.htm.
3. 潘建军, 马国栋. 我国分级诊疗政策实施现状及发展对策研究. 改革与开放, 2018, (5): 124-126.
4. 王延章. 管理决策方法. 北京: 清华大学出版社, 2010.
5. 卢秋颖. 某三甲医院职能部门绩效评价指标体系的研究与建立. 北京: 北京中医药大学, 2016.
6. 杜文雯, 付俊杰, 苏畅, 等. 德尔菲法在"营养教育效果综合评价问卷"制定中的应用. 中国健康教育, 2010, (4): 250-253.
7. 曾光. 现代流行病学. 北京: 气象出版社, 2002.
8. 程琮, 刘一志, 王如德. Kendall协调系数W检验及其SPSS实现. 泰山医学院学报, 2010, 31(7): 487-490.
9. 杨志勇. 基于德尔菲法的艾滋病防治专项支出绩效考评指标体系构建. 中国农村卫生事业管理, 2014, 34(6): 644-647.
10. Xiao J, Douglas D, Lee AH, et al. A Delphi evaluation of the factors influencing length of stay in Australian hospitals. Int J Health Plann Manage, 1997, 12(3): 207-218.
11. Anderson LA, Dedrick RF. Development of the trust in physician scale: a measure to assess interpersonal trust in patient-physician relationships. Psychol Rep, 1990, 67(3 Pt 2): 1091-1100.
12. Hall MA, Zheng B, Dugan E, et al. Measuring patients' trust in their primary care providers. Med Care Res Rev, 2002, 59(3): 293-318.
13. Straten GF, Friele RD, Groenewegen PP. Public trust in Dutch health care. Soc Sci Med, 2002, 55(2): 227-234.
14. van der Schee E, Braun B, Calnan M, et al. Public trust in health care: a comparison of Germany, The Netherlands, and England and Wales. Health Policy, 2007, 81(1): 56-67.
15. Kao AC, Green DC, Zaslavsky AM, et al. The relationship between method of physician payment and patient trust. JAMA, 1998, 280(19): 1708-1714.

Chinese Journal of Evidence-Based Medicine

The development of patient trust evaluation index system based on the hierarchical medical system

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