基于QCA的患方医疗暴力行为的成因

近年来医疗暴力事件屡屡发生，患者及家属的恶性伤医行为愈演愈烈，不仅对医患双方利益造成伤害，更对社会稳定性造成了恶劣的负面影响，如何有效缓解医患冲突、防范医疗暴力已成为业内及学界关注的重要课题。以经历过医疗服务失败的患者及家属为实证研究对象，从患方行为角度使用模糊集的定性比较分析方法分析患方暴力行为的驱动要素和前因构型，揭示医疗暴力事件频频发生的原因机理。结果表明:马基雅维利、医疗质量和亲属关系是患方实施攻击行为意向的关键要素，而马基雅维利特质、感知患病程度和医院环境会通过权变的方式影响患者的攻击行为意向。只有当医方相关要素和患方相关要素以特定形式相互组合，患方才会产生较高的攻击行为意向。

Study on Causes of Medical Violence Behavior of Patients based on QCA

In recent years,violence in hospital venues has occurred frequently,and the violence of the patients has become more and more serious. For the interests of both doctors and patients,social orientation and social stability,medical violence have caused a very bad negative impact. How to effectively alleviate the doctor-patient conflict and to prevent medical violence has become a focus of academic issues. This paper takes the patients and their families who have experienced medical service failure as the empirical research object. From the perspective of patient behavior,through the fuzzy set qualitative comparative analysis,this paper studies the driving factors and the predecessor of the violence of the affected people. The results show that Machiavelli,medical quality and kinship are the key elements of the patient aggressive behavior. Machiavelli characteristics,the degree of illness and the hospital environment will affect the patient''s aggressive behavior through the way of change. Only when the medical-related factors combine with the patient-related elements through a specific form,the patient will have a higher aggressive behavior intention.