社会资本缺失是医患信任问题产生的根源。从社会资本理论角度,信任指存在于社会资本中的人际关系模式,医患信任是医患双方的角色认知及在此基础上良好的人际互动。角色认知中影响人际信任的两个因素是特质认知和关系认知,体现在医患关系中,角色特质认知包括医生能力特质和患者个性特征,角色关系认知包括关系横向上的亲疏程度与关系纵向上的阶层高低,这些因素对医患信任的影响十分显著。从社会资本理论的个体层次-关系维度,医患关系双方的角色认知与人际互动的一致可以增加社会资本的存量,而信任社会资本的积累有助于促进医患双方的理解和沟通。
<<Lack of social capital is the root of mutual distrust between doctors and patients. Trust is regarded as relationship model from the perspective of social capital theory,as well as doctor-patient trust is seen as good interpersonal interaction based on roles cognition. There are two important factors affecting interpersonal trust,that is,characteristic cognition and relationship cognition. Reflected on the doctor-patient relationship,the role characteristic cognitive including doctors’ capacity and patients’ personality,the relationship cognitive including relation from horizontal distance and from vertical level,this is the most significant factors which effect doctor-patient trust. From individual level-relationship dimensions of the social capital theory,the consistent of role cognition and interpersonal interaction in doctor-patient trust increase social capital stock,as well as accumulation of trust social capital promotes communication and understanding between doctor and patient.
<<Keywords: | Social CapitalDoctor-patient TrustRole CognitionInterpersonal InteractionCharacteristic CognitionRelationship Cognition |