Author: XIAO YINGJIE

Issue: 2021-2022

Abstract:

In the context of China’s unique medical and health system, especially in the process of the reform of the country’s medical and health system, social contradictions among all parties are prominent. In the medical field, the shortage of medical and health resources, the contradiction between the growth rate of diseases and the change of disease spectrum, the contradiction between the imperfect social H-level medical system and the fact that it is difficult and expensive for people to see a doctor, the contradiction between the low income of medical personnel, the long training period and the increasing expectations of patients and their families have all led to the rising trend of doctor-patient contradiction. However, no matter how the external social environment affects, the final intensification and outbreak of doctor-patient conflicts are generated through the interaction between patients and their families and medical staff. Patients and their families are both affected by social support and under the influence of the social environment, they have a certain stereotype of medical staff. At the same time, personality traits of different patients and families are prone to produce strong emotions after expectations fail, causing tension between doctors and patients. On the medical staff side, job burnout, professional skills and professional attitudes are in contradiction, which also causes tension between doctors and patients. External factors play a role through internal factors. Therefore, this paper focuses on the main rational factors that cause conflicts between doctors and patients. From the patient’s perspective, it mainly studies the impact of stereotypes, personality traits and social support on the doctor patient relationship. From the perspective of medical staff, it focuses on how job burnout, functional skills, and professional attitudes affect the doctor-patient relationship, and then carries out relevant analysis to understand the nature of these interactions, So as to put forward countermeasures to improve the doctor patient relationship.

This study is mainly divided into three parts. The first part is based on a large number of questionnaires to analyze the status quo of the doctor-patient relationship and the influencing factors, which are divided into the perspective of medical staff and patients. The second part is the in-depth research and analysis of the patients and their families, mainly from the personality characteristics and this aspect. The third part is the analysis of the generation mechanism of doctor patient conflict based on the research results of the above parts, and the discussion of targeted mitigation strategies for sending some research.

The main conclusions of this study are as follows:

From the analysis of general influencing factors, we can see that from the perspective of patients, the doctor-patient relationship is affected by the level of hospitals where patients go to see doctors, whether they enjoy medical skill insurance, and whether the medical burden is too heavy. From the doctor’s point of view, the doctor’s education background, years of employment, professional title, department and satisfaction with the current profession all have a significant impact on the evaluation of the doctor-patient relationship.

Big five personality has a significant impact on doctor-patient relationship, among which there is a significant positive correlation between extroversion, novelty seeking, easy-going and conscientious personality traits of patients and their families and the evaluation of doctor-patient relationship; While in ordinary people, there is a significant positive correlation between extroversion, easygoing and conscientiousness and the evaluation of doctor-patient relationship, there is a significant negative correlation between neuroticism and the evaluation of doctor-patient relationship.

In order to improve the doctor-patient relationship and alleviate the doctor patient conflict, it is necessary to promote mutual understanding and understanding between patients, their families and medical staff, as well as to have more understanding of each other, and make corresponding improvements according to each other’s expectations, so as to enhance the satisfaction of both doctors and patients.

Keywords: doctor-patient relationship, personality characteristics, strategies for improving doctor-patient relationship