在中国上海国内移民中,医生信任的细分化同化轨迹:一个横截面研究
Enhong Dong1,2,3, Ting Xu1,3, Yue Yan4
1School of Nursing and Health Management, Shanghai University of Medicine & Health Science, Shanghai, 201318, China.
Heliyon
|October 15, 2024
概括
在具有经典或整合性同化模式的内部移民中,对医生的信任度更高. 教育,收入和医疗保健利用率也显著影响了对医生的信任.
科学领域:
- 社会学 社会学 社会学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医生信任对于有效的医疗保健至关重要.
- 细分同化理论在医生与患者关系研究中未得到充分利用,特别是在中国大城市的内部移民中.
研究的目的:
- 探索上海内部移民的细分化同化模式.
- 检查这些同化模式和医生信任之间的关系.
- 确定影响医生对这一群体信任的因素.
主要方法:
- 在上海对1200名国内移民进行了在线问卷调查 (2021年8月至12月).
- 探索性K-意味着集群分析以确定同化模式.
- 多变量后勤回归分析影响医生信任的因素.
主要成果:
- 确定了四种同化模式:经典,整合,细分和第二代下层阶级.
- 在同化模式和医生信任之间发现了显著的关联.
- 经典和整合性同化组报告了比细分组更高的医生信任.
- 高等教育,收入,经常去看医生和自我评价的健康状况与更大的医生信任有关.
结论:
- 同化模式显著影响内部移民对医生的信任.
- 干预措施应侧重于文化适应能力和卫生系统的理解,而不仅仅是经济因素,以增强信任.
- 政策影响包括有针对性的措施,以改善医疗服务的利用率和对内部移民的信任.
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