ArticleBMC health services research2019
The impact of contract service policy and doctor communication skills on rural patient-doctor trust relationship in the village clinics of three counties.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 26 citations in OpenAlex.
- Impact of the Family Doctor Contracting System on unmet healthcare needs in Shandong Province, China.Health policy and planning · 2026Article
- Beyond the Scalpel: Addressing Communication and Distress in ENT Cancer.Medicina (Kaunas, Lithuania) · 2025Article
- Has China's hierarchical medical system improved doctor-patient relationships?Health economics review · 2024Article
- GP's GP, general practitioner's health and willingness to contract family doctors in China: a national cross-sectional study.BMC primary care · 2024Article
- The impact of provider-patient communication skills on primary healthcare quality and patient satisfaction in rural China: insights from a standardized patient study.BMC health services research · 2024Article
- The impact of family doctor contract services on the utilization of and satisfaction with primary health care among Chinese residents: A cross-sectional study.Journal of family medicine and primary care · 2024Article
- The association of family doctor contract service and patient trust in doctor: evidence from twenty-five village clinics of three counties in rural China.BMC primary care · 2024Article
- What factors affect Beijing residents' contracts with family doctors? A comparative study of Beijing's urban and suburban areas.Frontiers in public health · 2023Article
- "Understand us and acknowledge our reasons": Perspectives from Burmese refugee families on interactions with their pediatricians.Journal of migration and health · 2023Article
- Patient perception of doctor communication skills and patient trust in rural primary health care: the mediating role of health service quality.BMC primary care · 2022Article
- The influence factors of medical disputes in Shanghai and implications - from the perspective of doctor, patient and disease.BMC health services research · 2022Article
- Roles and Challenges for Village Doctors in COVID-19 Pandemic Prevention and Control in Rural Beijing, China: A Qualitative Study.Frontiers in public health · 2022Article
- The Awareness and Attitude of Contracted Service Among General Medical Practitioners in Community Health Service Centers in Urban China: A Cross-Sectional Study.Frontiers in public health · 2021Article
- Factors Associated with Rural Residents' Contract Behavior with Village Doctors in Three Counties: A Cross-Sectional Study from China.International journal of environmental research and public health · 2020Article
- Effect of family doctor contract services on patient perceived quality of primary care in southern China.BMC family practice · 2020Article
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTrust is regarded as the cornerstone of the doctor-patient relationship in the world of medicine; it determines the decisions patients make when choosing doctors and influences patients' compliance with recommended treatments. In China, patient-doctor trust acts as a thermometer measuring harmony in the doctor-patient relationship. The objective of this study is to explore the relationship between the contract service and patient-doctor trust-building in 25 village clinics of rural China.
methodThe research was carried out in village clinics in rural China. A simple random sampling method was used to choose clinics and subjects. Based on feasibility and financial support, we chose three counties as our study settings: Dafeng District, Jiangsu Province; Yinan County, Shandong Province; and Wufeng Tujia Autonomous County, Hubei Province. Twenty-five village clinics and 574 subjects were selected in the three areas from the contract service and patient list. Descriptive statistics, t-tests, MANOVA, SEM, and multiple regression statistical analysis were employed to analyze the data.
resultStatistical analysis showed that contract service directly and indirectly influenced patient-doctor trust-building in village clinics. The patient perception of doctor communication skills was a mediator in the relationship between contract service policy and patient-doctor trust-building.
conclusionsBuilding patient-doctor trust is important in developing and enhancing rural health. The policy of contract service plays a significant role in building relationships. Well-developed communication skills of doctors contribute to the implementation of the contract service policy and to establishing patient-doctor trust.
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