Research on the Cooperative Governance Path of Multiple Stakeholders in Doctor–Patient Disputes under the Environment of Information Asymmetry

Abstract

The number of doctor–patient conflicts and disputes in China has been increasing recently. In order to solve the current social problems of the tense doctor–patient relationship and frequent medical disputes, this article, based on grounded theory, uses qualitative analysis software to conduct grounded coding on 622 cases of doctor–patient disputes randomly selected by stratification. After successively adopting open, axial, and selective coding, the relationship structure between the causes and development of medical disputes is summarized. Furthermore, this relationship structure can be used to analyze further and discuss the causes of doctor–patient disputes from the perspective of multiple co-governance and the governance framework of doctor–patient disputes. Finally, it reminds us of the need to standardize government’s regulatory responsibilities, promote the equal distribution of medical resources, strengthen the communication awareness between doctors and patients, reduce the information asymmetry between doctors and patients, and build a preventive mechanism-oriented multi-subject collaborative governance path to promote the relationship between doctors and patients in China. We provide relevant countermeasures and suggestions for harmonious development and the smooth resolution of doctor–patient conflicts.

Impact Analysis of COVID-19 Pandemic on Hospital Reviews on Dianping Website in Shanghai, China: Empirical Study

“…The highest proportion of negative comments was “dissatisfaction with physician attitude.” For a long time, “dissatisfaction with physician attitude” has been a significant factor in the occurrence of doctor-patient disputes. These disputes not only directly lead to conflicts between doctors and patients but also erode the level of trust between them, resulting in a stalemate in the diagnosis and treatment process and affecting the quality and standard of health care [ 41 , 42 ]. The reasons for this situation are multifaceted, encompassing significant information asymmetry between doctors and patients, the authoritative status of doctors, poor doctor-patient communication, and a lack of empathy toward patients [ 43 ].…”

“…These disputes not only directly lead to conflicts between doctors and patients but also erode the level of trust between them, resulting in a stalemate in the diagnosis and treatment process and affecting the quality and standard of healthcare. [41,42] The reasons for this situation are multifaceted, encompassing significant information asymmetry between doctors and patients, the authoritative status of doctors, poor doctor-patient communication, and a lack of empathy towards patients. [43] During the pandemic, the limited availability of medical resources has led to reduced communication time between doctors and each patient.…”

Association among Doctor-Patient Communication, Trust, and Patients’ Negative Stereotypes for Healthcare Professionals during COVID-19: A Cross-Sectional Study

“…First, as for the efect of doctor-patient communication on negative stereotypes, patients' negative stereotypes are rooted in the asymmetry of doctor-patient information, which leads to patients' unreasonable expectations and subjective attitudes bias toward healthcare professionals [46]. However, doctor-patient communication is able to balance the information asymmetry between doctors and patients and change patients' unreasonable perceptions about healthcare professionals [47], which leads to the contextual universality in the efect of communication on stereotypes. Second, as for the efect of doctor-patient communication on interpersonal trust and institutional trust, there is still reason to believe that doctor- patient communication has a stronger efect on interpersonal trust than institutional trust during the nonepidemic period, especially in light of the developing concept of "patient-centered communication."…”

Bibliometric and visualization analysis of risk management in the doctor–patient relationship: A systematic quantitative literature review

“…Presently, risks to the DPR include tensions, lack of trust, ongoing medical disputes, medical violence, and other crises between doctors and patients. [4][5][6][7] How to effectively manage the risks associated with the DPR and improve patient satisfaction has become a prominent research topic. It is especially crucial to control and mitigate the risks associated with the DPR.…”