Evidence map›Paper›PMID 40082944›Full record

ArticleHuman resources for health2025

Factors influencing medical disputes among village doctors from seven provinces in China: a cross-sectional study.

Zijian Qi, Guiyuan Li, Wenxin Yu, Chunxia Miao, Wenjun Yan, Wei Wang, Xiuyin Gao, Qingzhi Wang

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Article in Human resources for health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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8 authors.

Zijian Qi *Department of Community and Health Education, School of Public Health, Xuzhou Medical University, Xuzhou, China.
Guiyuan Li *Department of Community and Health Education, School of Public Health, Xuzhou Medical University, Xuzhou, China.
Wenxin YuDepartment of Community and Health Education, School of Public Health, Xuzhou Medical University, Xuzhou, China.
Chunxia MiaoDepartment of Health Management, School of Management, Xuzhou Medical University, Xuzhou, China.
Wenjun YanDepartment of Community and Health Education, School of Public Health, Xuzhou Medical University, Xuzhou, China.
Wei WangDepartment of Community and Health Education, School of Public Health, Xuzhou Medical University, Xuzhou, China.
Xiuyin GaoDepartment of Community and Health Education, School of Public Health, Xuzhou Medical University, Xuzhou, China. 100000401004@xzhmu.edu.cn.
Qingzhi WangDepartment of Community and Health Education, School of Public Health, Xuzhou Medical University, Xuzhou, China. wangqz@xzhmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical disputes, with the progress of economic development and the improvement of people's awareness of rights protection, are becoming increasingly intense. This phenomenon may have a negative impact on doctors and the medical system, especially village doctors who are responsible for guarding the health of rural people. Therefore, it is urgent to explore the factors that affect the medical dispute experience of village doctors.

methodsA cross-sectional study was conducted and 1977 village doctors recruited from seven provinces in China during May to June 2023. Multivariate logistic regression with propensity score matching (PSM) was performed to explore the association of post competency and medical disputes.

resultsAmong the 1977 village doctors, 208 (10.5%) had experienced medical disputes. Village doctors with high post competency (OR = 0.951, 95%CI: 0.930, 0.972), proficient western medicine (OR = 0.340, 95%CI: 0.164, 0.704), neutral occupational satisfaction (OR = 0.344, 95%CI: 0.216, 0.550), and neutral or high satisfying doctor-patient relationship (DPR) (OR = 0.401, 95%CI: 0.240, 0.668; OR = 0.200, 95%CI: 0.113, 0.355) had a decreased likelihood for medical disputes. Village doctors with high income (OR = 4.928, 95%CI: 2.039, 11.911) had an increased likelihood for medical disputes.

conclusionsVillage doctors who perceived themselves to have high service competency, high occupational satisfaction, and satisfaction with doctor-patient relationships were less likely to encounter medical disputes. The government and relevant organizations should intensify the training of village doctors, enhance their service competency and hospital facilities, foster harmonious doctor-patient relationships, and facilitate the advancement of primary public health services.

Indexed as

Dissent and DisputesJob SatisfactionPhysician-Patient RelationsPhysiciansRural Health ServicesAdultChinaClinical CompetenceCross-Sectional StudiesFemaleHumansMaleMiddle AgedRural PopulationDoctor–patient relationshipMedical disputesPost competencyRural ChinaVillage doctors

Identifiers

PMID40082944
PMCPMC11905589

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