关键词: 外来人口, 医患关系, 医患信任, 影响因素

Abstract: Objective To analyze the current situation and influencing factors of doctor-patient trust among migrants in Shanghai. Methods Taking the “smart blue-collar” health science service station in Shanghai as the survey point, the questionnaire survey method was used to investigate the migrants. The descriptive epidemiological analysis method was used to analyze the doctor-patient trust of migrants, and univariate and multivariate analysis methods were used to analyze the influencing factors of doctor-patient trust. Results Among the 3 219 migrants, there were 1 762 males and 1 457 females, ranging in age from 16 to 67 years old, with an average of （27.79±9.46） years old. The overall doctor-patient trust, medical technology trust, and care and communication trust of the migrants in Shanghai were both rated as “good”. The results of multiple linear regression analysis showed that the older the age （β’=0.089）, the higher the education level （β’=0.089）, the more visits to the doctor （β’=0.084）, and female （β’=0.137）, the migrants had lower doctor-patient trust, and the unemployed/ waiting for employment （β’=-0.047） migrants had higher doctor-patient trust. The older the age （β’=0.072）, the higher the education level （β’=0.080）, the more smoking （β’=0.049）, the more visits to the doctor （β’=0.083）, and female （β’=0.133）, the migrants had lower medical technology trust, and those with unemployed/waiting for employment （β’=-0.048） and urban residents’ medical insurance （β’=-0.184） had higher medical technology trust. The older the age （β’=0.094）, the higher the education level （β’=0.083）, the more visits to the doctor （β’=0.073）, female （β’=0.118）, and living in the suburban area （β’=0.036）, the migrants had lower care and communication trust. Conclusion The doctor-patient trust of the migrants is affected by demographic sociological factors, family factors, and health factors. It is necessary to improve the fairness of health services for the migrants in the city and enhance the doctor-patient trust of this group.

Key words: Migrants, Doctor-patient relationship, Doctor-patient trust, Influencing factor