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- Publisher Website: 10.1111/dewb.12162
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Article: Mistrust of Physicians in China: Society, Institution, and Interaction as Root Causes
Title | Mistrust of Physicians in China: Society, Institution, and Interaction as Root Causes |
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Authors | |
Keywords | Bioethics China Doctor-patient relation Medical ethics Mistrust |
Issue Date | 2018 |
Publisher | Wiley-Blackwell Publishing Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291471-8847 |
Citation | Developing World Bioethics, 2018, v. 18, p. 16-25 How to Cite? |
Abstract | Based on two years’ ethnographic research on doctor-patient relations in urban China, this paper examines the causes of patients’ mistrust of physicians. I identify the major factors at the societal, institutional, and interpersonal levels that lead to patients’ mistrust of physicians. First, I set the context by describing the extent of mistrust at the societal level. Then, I investigate the institutional sources of mistrust. I argue that the financing mechanism of public hospitals and physicians’ income structures are the most crucial factors in inducing patients’ mistrust. Hospitals’ heavy reliance on self-finance has basically caused public hospitals to run like private hospitals, resulting in blatant conflicts of interest between hospitals and patients. Related to this is physicians’ reliance on bonuses and commissions as part of their regular incomes, which has inevitably resulted in overtreatment and, hence, mistrust from the patients. At the interpersonal level, I describe how individual physicians’ attitudes toward and interaction with patients may also affect patients’ sense of trust or mistrust in physicians. In conclusion, I discuss the ethical implications of the mistrust problem, and suggest changes at the institutional and interpersonal levels to mitigate the problem. |
Persistent Identifier | http://hdl.handle.net/10722/266457 |
ISSN | 2023 Impact Factor: 0.9 2023 SCImago Journal Rankings: 0.529 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Chan, CSC | - |
dc.date.accessioned | 2019-01-18T08:20:02Z | - |
dc.date.available | 2019-01-18T08:20:02Z | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | Developing World Bioethics, 2018, v. 18, p. 16-25 | - |
dc.identifier.issn | 1471-8731 | - |
dc.identifier.uri | http://hdl.handle.net/10722/266457 | - |
dc.description.abstract | Based on two years’ ethnographic research on doctor-patient relations in urban China, this paper examines the causes of patients’ mistrust of physicians. I identify the major factors at the societal, institutional, and interpersonal levels that lead to patients’ mistrust of physicians. First, I set the context by describing the extent of mistrust at the societal level. Then, I investigate the institutional sources of mistrust. I argue that the financing mechanism of public hospitals and physicians’ income structures are the most crucial factors in inducing patients’ mistrust. Hospitals’ heavy reliance on self-finance has basically caused public hospitals to run like private hospitals, resulting in blatant conflicts of interest between hospitals and patients. Related to this is physicians’ reliance on bonuses and commissions as part of their regular incomes, which has inevitably resulted in overtreatment and, hence, mistrust from the patients. At the interpersonal level, I describe how individual physicians’ attitudes toward and interaction with patients may also affect patients’ sense of trust or mistrust in physicians. In conclusion, I discuss the ethical implications of the mistrust problem, and suggest changes at the institutional and interpersonal levels to mitigate the problem. | - |
dc.language | eng | - |
dc.publisher | Wiley-Blackwell Publishing Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291471-8847 | - |
dc.relation.ispartof | Developing World Bioethics | - |
dc.subject | Bioethics | - |
dc.subject | China | - |
dc.subject | Doctor-patient relation | - |
dc.subject | Medical ethics | - |
dc.subject | Mistrust | - |
dc.title | Mistrust of Physicians in China: Society, Institution, and Interaction as Root Causes | - |
dc.type | Article | - |
dc.identifier.email | Chan, CSC: cherisch@hku.hk | - |
dc.identifier.authority | Chan, CSC=rp00617 | - |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.doi | 10.1111/dewb.12162 | - |
dc.identifier.scopus | eid_2-s2.0-85029213079 | - |
dc.identifier.hkuros | 296617 | - |
dc.identifier.volume | 18 | - |
dc.identifier.spage | 16 | - |
dc.identifier.epage | 25 | - |
dc.identifier.isi | WOS:000426847900004 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 1471-8731 | - |