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中文摘要: 目的：通过量化分析，研究不同特征患儿家长对医患关系的认知差异，为改善儿科医患关系提供参考。方法：采用便利抽样法，向某儿童专科医院217名患儿家长发放自制 “患儿家长对医患关系的认知差异量表”，比较不同特征患儿家长对医患关系相关维度的认知差异，采用线性回归分析影响医患双方沟通认知的因素。结果：不同性别、年龄、学历、职业、收入、未成年子女数量、商业保险等特征的患儿家长在医患关系现状、医方信任度、医患关系影响对医务人员态度、医患关系影响双方沟通、医闹对医院影响、医患纠纷处理制度作用等方面的认知存在显著差异（P < 0.05）。线性回归显示，性别（β=0.739，P=0.001）、年龄（β=0.534，P=0.001）、学历（β=0.196，P=0.035）与医患关系影响双方沟通认知呈正相关。在非技术因素中，职业道德态度和门诊服务设施最受患儿家长重视。结论：应针对不同特征患儿家长开展差异化沟通，完善医患纠纷处理制度，加强法律法规及制度宣传教育，强化儿科医患沟通，提升医院非技术内容建设，以改善儿科医患关系。
Abstract:Objective：Through quantitative analysis，this study investigates the cognitive differences in doctor-patient relationships among parents of children with various characteristics，providing a reference for improving pediatric doctor-patient relationships. Methods：Using the convenient sampling method，a self-designed “Parental Perception Differences on Doctor-Patient Relationship Scale” was distributed to 217 parents of pediatric patients in a certain specialized children’s hospital. The study compared the cognitive differences in various dimensions of the doctor-patient relationship among parents with children exhibiting different characteristics. Linear regression analysis was employed to investigate the factors influencing the communication and cognition between doctors and patients. Results：There are significant differences（P < 0.05）in the perceptions of parents of pediatric patients regarding the current state of doctor-patient relationships，trust in healthcare providers，the impact of doctor-patient relationships on attitudes towards medical staff，the impact of doctor-patient relationships on communication between both parties，the influence of medical disputes on hospitals，and the role of the medical dispute resolution system，based on characteristics such as gender，age，education level，occupation，income，number of minor children，and commercial insurance. Linear regression analysis shows that gender（β=0.739，P=0.001），age（β=0.534，P=0.001），and education level（β=0.196，P=0.035）are positively correlated with the perception of the impact of doctor-patient relationships on communication between both parties. Furthermore，among non-technical factors，professional ethics and attitudes，as well as outpatient service facilities，are most valued by parents of pediatric patients. Conclusion：Differentiated communication should be tailored for parents of children with different characteristics. We should improve the system for handling medical disputes，strengthen the publicity and education of laws，regulations，and systems，and enhance the construction of non-technical aspects in hospitals. These measures aim to strengthen pediatric doctor-patient communication and improve pediatric doctor-patient relationships.
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陶骏贤.患儿家长对儿科医患关系现状认知的量化分析[J].江苏卫生事业管理,2026,37(1):85-88.
TAO Junxian.Quantitative Analysis of Parents’ Perception of the Current Status of Doctor-patient RelationshipTAO Junxian[J].Jiangsu Health System Management,2026,37(1):85-88.
陶骏贤.患儿家长对儿科医患关系现状认知的量化分析[J].江苏卫生事业管理,2026,37(1):85-88.
TAO Junxian.Quantitative Analysis of Parents’ Perception of the Current Status of Doctor-patient RelationshipTAO Junxian[J].Jiangsu Health System Management,2026,37(1):85-88.
