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    The Doctor-patient Trust in General Practice Service and Its Countermeasure Suggestions Based on Trusted Source Model
    MA Zhiqiang, WU Xianglan
    Chinese General Practice    2023, 26 (10): 1172-1178.   DOI: 10.12114/j.issn.1007-9572.2022.0316
    Abstract573)   HTML13)    PDF(pc) (1287KB)(665)       Save

    Enhancing doctor-patient trust is the key to improving medical service quality in the context of the general pracitce service system. This paper explores the doctor-patient trust in general practice services in depth based on doctor-patient trusted source model combining with literature analysis. It is concluded that the intensity of supervision of contracted services by the health administration, the facility environment of community health service institutions, the quality of services provided by general practitioners, and residents' own trust tendency are the key factors affecting the doctor-patient trust. From the perspective of the above four subjects, suggestions including strengthening the supervision of health administration, enhancing institutional trust, strengthening doctor-patient communication, enhancing interpersonal trust, and giving full play to residents' social supervision power are put forward in this paper, in order to improve the willingness to access primary health care services of residents and the quality of general practice services.

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    Collaboration between Primary Care Pharmacists and General Practitioner Teams: Recent Developments, Challenges and Countermeasures
    DENG Zhiling, LU Yiting, LIANG Xujian, ZENG Ruifeng, LI Haixin, LU Panpan, XU Zhijie
    Chinese General Practice    2023, 26 (10): 1179-1185.   DOI: 10.12114/j.issn.1007-9572.2022.0615
    Abstract991)   HTML22)    PDF(pc) (1277KB)(1312)       Save

    With the transformation of the role of pharmacists, the model and content of pharmacy services in primary care delivered by them have changed significantly, and they may play a greater role in the collaboration with general practitioner teams. This paper elaborated the content and model of collaboration between primary care pharmacists and general practitioner teams globally, analyzed the current effects of collaboration on improving clinical outcomes of patients, saving medical expenses and standardizing rational use of medicines, and summarized the challenges and barriers to collaboration, including general practitioners' low willingness to collaborate, patients' lack of confidence in the professional competence of primary pharmacists, barriers to role conversion of primary care pharmacists, additional medical costs, and imperfect infrastructure, etc. In view of the above barriers, this paper proposed five coping strategies, including clearly defining the responsibility of pharmacists in general practitioner teams, developing the incentive system and improving the management of fund, enhancing the training for community pharmacists and constructing the position-specific competencies evaluation system, strengthening the communication and mutual trust between general practitioners and pharmacists, and optimizing the pattern of collaboration. All of these provide theoretical reference and strategic support for the development of the collaboration between primary care pharmacists and general practitioners teams in China.

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