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Modeling For Harmonious Degree Of Doctor-Patient Relation And Indicator Assessment Of Harmonious Degree

Posted on:2014-10-07Degree:DoctorType:Dissertation
Country:ChinaCandidate:X L SangFull Text:PDF
GTID:1264330425989269Subject:Quality Engineering and Management
Abstract/Summary:PDF Full Text Request
With the frequent occurrence of medical disturbance in recent years, especially medical violence events, doctor-patient relation becomes the focus of researches and the hot issue concerning the whole society. Proposals of doctor-patient relation and medical system reform have aroused deputies’attention at18th Party Congress. To construct a harmonious doctor-patient relation is a vital part of realizing the Chinese dream.Current studies of doctor-patient relation need improved. Researchers mainly focus on studying single factor affecting the satisfaction degree of patients or medical staff. Few studies involve the function and influence of hospital administrators within doctor-patient relation. Studies of three subjects, patients, medical staff and hospital administrators, and their working mechanism are unreported. A comprehensive study of these three subjects and their relations is required with scientific and quantitative description of satisfaction degree of three subjects, and suggestions and countermeasures are pointedly put forward to improve doctor-patient relation and construct a harmonious doctor-patient relation.By adopting a reverse thinking of "how to measure the harmonious degree of doctor-patient relation", this paper establishes a theoretical model of indicators for doctor-patient harmonious degree, and conducts a comprehensive study of factors of patients, medical staff and hospital administrators and satisfaction degree. Main achievements are as follows.First, by drawing upon the advantages of other scholars’work in this field, we give full play the Quality Function Deployment Method, which allows the customers’ needs to be predicted and assessed via indicators. The questionnaire design is optimized, which compensates the lack of studies on hospital administrators and factors of satisfaction degree, enriching the basic theories and contents of doctor-patient relation researches.Second, a new method combined Structural Equation Modeling (SEM) and Quality Function Deployment (QFD) in House of Quality is explored, which is more direct and more objective in assessing the satisfaction indicators. It enables researchers to have a clear grasp of each variable, which makes up the disadvantages of studies that can acquire the result only but no details in the process. This method is adopted to scientifically calculate the satisfaction indicators of three subjects in doctor-patient relation.Third, with the help of latent variable dimensions, this paper creatively constructs a structural equation model of satisfaction degree in doctor-patient relation and calculates the satisfaction indicators. Numerical simulation reproduces the harmonious degree of doctor-patient relation.Fourth, based on above achievements, current situation of China’s doctor-patient relation is analyzed and suggestions for improving the harmonious degree of doctor-patient relation are provided.
Keywords/Search Tags:doctor-patient relation, structural equation modeling, quality functiondeployment, harmonious degree, indicator assessment
PDF Full Text Request
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