农村居民就医过程中的信任机制研究——基于江苏省南通市的调查

信任是影响农村居民就医的重要因素，以江苏省南通市为例，对农村居民就医过程中的信任机制进行了研究。结果表明，在乡土熟人社会中，村卫生室作为乡村公共领域，村医依靠人格信任取得农村居民的信任；大型医院则依靠专家系统，垄断了农村居民的住院选择。随着农村医疗条件的改善，村卫生室和药店将成为农村居民门诊就医的重要机构，农村居民在药店购药的比例和频次将会增加。县市级医院在住院治疗方面将发挥主导作用，并且随着新型农村合作医疗制度的不断完善，农村居民的住院成本不断减少，农村居民对县级医院的信任将越来越增加。乡镇卫生院由于缺乏个人信任和系统信任，将一直处于尴尬的境地。

Study on the Confidence Mechanism of Rural Residents in the Hospitalizing Process

The confidence is an important influencing factor in the hospitalizing process of rural residents.Taking Nantong City of Jiangsu Province as an example,the confidence mechanism in the hospitalizing process of rural residents was studied.The results showed that the village doctors relied on personal trust and won the trust of farmers in the local community with the village clinic as the rural public domain.And large-scale hospitals relied on expert systems,monopolied farmers' hospital choice.With the improve...