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注册号： Registration number：	ChiCTR2600120563
最近更新日期： Date of Last Refreshed on：	2026-03-17 08:49:50
注册时间： Date of Registration：	2026-03-17 00:00:00
注册号状态：	预注册
Registration Status：	Prospective registration
注册题目：	基于群际接触理论下医患关系的重塑——以北京市某三甲医院为例
Public title：	Reshaping Doctor-Patient Relationships Based on Intergroup Contact Theory: A Case Study of a Tertiary Hospital in Beijing
注册题目简写：
English Acronym：
研究课题的正式科学名称：	基于群际接触理论下医患关系的重塑——以北京市某三甲医院为例
Scientific title：	Reshaping Doctor-Patient Relationships Based on Intergroup Contact Theory: A Case Study of a Tertiary Hospital in Beijing
研究课题代号(代码)： Study subject ID：
在二级注册机构或其它机构的注册号： The registration number of the Partner Registry or other register：

申请注册联系人：	李超	研究负责人：	李超
Applicant：	Li Chao	Study leader：	Li Chao
申请注册联系人电话： Applicant telephone：	+86 136 9156 9808	研究负责人电话： Study leader's telephone：	+86 136 9156 9808
申请注册联系人传真： Applicant Fax：		研究负责人传真： Study leader's fax：
申请注册联系人电子邮件： Applicant E-mail：	bjyylichao@163.com	研究负责人电子邮件： Study leader's E-mail：	bjyylichao@163.com
申请单位网址(自愿提供)： Applicant website(voluntary supply)：		研究负责人网址(自愿提供)： Study leader's website(voluntary supply)：
申请注册联系人通讯地址：	中国北京市东城区东单大华路1号	研究负责人通讯地址：	中国北京市东城区东单大华路1号
Applicant address：	1 Dahua Road, Dongcheng District, Beijing, China	Study leader's address：	1 Dahua Road, Dongcheng District, Beijing, China
申请注册联系人邮政编码： Applicant postcode：		研究负责人邮政编码： Study leader's postcode：
申请人所在单位：	北京医院
Applicant's institution：	Beijing Hospital
研究负责人所在单位：	北京医院
Affiliation of the Leader：	Beijing Hospital

是否获伦理委员会批准：	是
Approved by ethic committee：	Yes
伦理委员会批件文号： Approved No. of ethic committee：	2025BJYYEC-KY271-01	伦理委员会批件附件： Approved file of Ethical Committee：	查看附件View
批准本研究的伦理委员会名称：	北京医院伦理委员会
Name of the ethic committee：	Beijing Hospital Ethics Committee
伦理委员会批准日期： Date of approved by ethic committee：	2025-10-22 00:00:00
伦理委员会联系人：	侯文静
Contact Name of the ethic committee：	Hou Wenjing
伦理委员会联系地址：	中国北京市东城区东单大华路1号
Contact Address of the ethic committee：	1 Dahua Road, Dongcheng District, Beijing, China
伦理委员会联系人电话： Contact phone of the ethic committee：	+86 10 8513 8522	伦理委员会联系人邮箱： Contact email of the ethic committee：

研究实施负责（组长）单位：

北京医院

Primary sponsor：

Beijing Hospital

研究实施负责（组长）单位地址：

中国北京市东城区东单大华路1号

Primary sponsor's address：

1 Dahua Road, Dongcheng District, Beijing, China

试验主办单位(项目批准或申办者)：

Secondary sponsor：

国家：	中国	省(直辖市)：	北京	市(区县)：
Country：	China	Province：	Beijing	City：
单位(医院)：	北京医院	具体地址：	中国北京市东城区东单大华路1号
Institution hospital：	Beijing Hospital	Address：	1 Dahua Road, Dongcheng District, Beijing, China

经费或物资来源：

北京医院

Source(s) of funding：

Beijing Hospital

研究疾病：

患者满意度

Target disease：

Patient satisfaction

研究疾病代码：

Target disease code：

研究类型：

干预性研究

Study type：

Interventional study

研究所处阶段：

其它

Study phase：

N/A

研究设计：

整群随机分组

Study design：

Cluster randomization

研究目的：

1.基于群际接触理论，深入分析北京市某三甲医院医患纠纷的类型、特点及其成因，特别是行风问题、沟通问题、期望差异和医疗错误等不同类型的纠纷。提升医患双方的信任水平，减少误解和偏见。优化医患沟通模式，提高沟通效率和质量。调整和匹配医患双方的期望，减少期望差异带来的冲突。增强医患双方对医疗错误处理的认识和应对能力。 2.制定基于群际接触理论的医患关系重塑措施。定期组织召开一系列促进医患直接接触的活动，如定期举办的医患交流会、患者教育活动等。建立和完善医患纠纷调解机制，确保群际接触在调解过程中的有效应用。培训医护人员，提高他们在调解过程中的沟通技巧和同理心。 3.评估群际接触理论在医患关系重塑中的实际效果。评估医院医疗服务质量指标的提升情况，公立医院绩效考核排名情况，医疗纠纷例数变化情况。 4.拟解决的关键问题（1）医患纠纷的群际根源及其表现特征是什么？运用群际接触理论，深入剖析北京市某三甲医院医患纠纷（特别是沟通问题、期望差异、医疗错误等类型）背后隐藏的群体间认知偏差、刻板印象、沟通障碍、信任缺失等深层原因，并清晰刻画这些纠纷在群体互动背景下的具体表现特征。（2）基于群际接触理论的医患关系重塑措施是否有效，以及如何发挥作用？设计和实施一系列旨在促进积极医患接触的措施（如交流活动、调解机制、培训等），并评估这些措施是否真的能够提升信任、改善沟通、匹配期望、增强错误处理能力。更进一步，需要揭示这些措施是通过影响哪些具体的群际接触变量（如减少焦虑、打破刻板印象、增加共情等）来最终改善医患关系的。（3）如何客观评估群际接触理论在改善医患关系中的实际效果？建立一套科学、全面的评估体系，能够结合量化指标（如纠纷数量、满意度、考核排名）和质性反馈（如信任度、沟通感受），准确衡量基于群际接触理论的干预措施实施前后，医患关系在信任、沟通、期望、冲突处理等方面的实际改善程度，并识别该理论在特定医疗场景下的适用性与局限性。

Objectives of Study：

1.In-depth Analysis of Doctor-Patient Disputes at a Tertiary Hospital in Beijing Based on Intergroup Contact Theory An in-depth analysis of the types, characteristics, and causes of doctor-patient disputes at a tertiary hospital in Beijing, based on Intergroup Contact Theory. This analysis will particularly focus on different types of disputes, such as those related to professional conduct issues, communication problems, expectation gaps, and medical errors. To enhance the level of trust between doctors and patients and reduce misunderstandings and prejudices. To optimize doctor-patient communication models to improve efficiency and quality. To adjust and align the expectations of both doctors and patients to reduce conflicts arising from expectation gaps. To enhance the awareness and coping abilities of both doctors and patients regarding the handling of medical errors. 2.Development of Doctor-Patient Relationship Reshaping Measures Based on Intergroup Contact Theory To regularly organize a series of activities that promote direct doctor-patient contact, such as regular doctor-patient forums and patient education programs. To establish and improve a mediation mechanism for doctor-patient disputes, ensuring the effective application of intergroup contact within the mediation process. To train medical and nursing staff to improve their communication skills and empathy during the mediation process. 3.Evaluation of the Practical Effectiveness of Intergroup Contact Theory in Reshaping the Doctor-Patient Relationship To evaluate the improvement in the hospital’s healthcare service quality indicators. To assess the hospital’s ranking in the performance evaluation of public hospitals. To track changes in the number of medical dispute cases. 4.Key Issues to be Addressed (1)What are the intergroup roots and manifest characteristics of doctor-patient disputes? Using Intergroup Contact Theory, to deeply analyze the underlying intergroup causes of doctor-patient disputes at a tertiary hospital in Beijing (especially those related to communication problems, expectation gaps, and medical errors), such as intergroup cognitive biases, stereotypes, communication barriers, and lack of trust. Furthermore, to clearly delineate the specific characteristics of these disputes as they manifest in the context of group interactions. (2) Are the doctor-patient relationship reshaping measures based on Intergroup Contact Theory effective, and how do they work? To design and implement a series of measures aimed at promoting positive doctor-patient contact (such as exchange activities, mediation mechanisms, and training programs) and to evaluate whether these measures can indeed enhance trust, improve communication, align expectations, and strengthen error-handling capabilities. Furthermore, to reveal the mechanisms by which these measures improve the doctor-patient relationship—specifically, which intergroup contact variables (e.g., reducing anxiety, breaking stereotypes, increasing empathy) are influenced to achieve this outcome. (3)How to objectively evaluate the practical effectiveness of Intergroup Contact Theory in improving the doctor-patient relationship? To establish a scientific and comprehensive evaluation system that combines quantitative indicators (e.g., number of disputes, satisfaction scores, performance rankings) with qualitative feedback (e.g., levels of trust, communication experiences). This system will accurately measure the actual degree of improvement in the doctor-patient relationship—in terms of trust, communication, expectations, and conflict management—before and after the implementation of interventions based on Intergroup Contact Theory. It will also identify the applicability and limitations of this theory in specific healthcare settings

药物成份或治疗方案详述：

Description for medicine or protocol of treatment in detail：

纳入标准：

Inclusion criteria

排除标准：

1. 无法流利表达或拒绝参与研究的患者予以排除。 2. 拒绝参与研究的医师予以排除。

Exclusion criteria：

1. Patients who were unable to express themselves fluently or refused to participate in the study were excluded. 2. Physicians who refused to participate in the study were excluded.

研究实施时间：

Study execute time：

从 From 2025-09-01 00:00:00至 To 2027-05-31 00:00:00

征募观察对象时间：

Recruiting time：

从 From 2026-04-01 00:00:00 至 To 2027-05-01 00:00:00

干预措施：

Interventions：

组别：	青中年组 (18-65 岁)	样本量：	1800
Group：	Young and Middle-aged Group (18-65 years)	Sample size：	1800
干预措施：	引导医患之间的积极接触，防止消极接触，减少医患之间刻板印象的干预措施	干预措施代码：
Intervention：	Intervention measures that guide positive contact between doctors and patients, prevent negative contact, and reduce stereotypes between them	Intervention code：

组别：	初老组 (66-79 岁)	样本量：	850
Group：	Early Aging Group (66-79 years)	Sample size：	850
干预措施：	引导医患之间的积极接触，防止消极接触，减少医患之间刻板印象的干预措施	干预措施代码：
Intervention：	Intervention measures that guide positive contact between doctors and patients, prevent negative contact, and reduce stereotypes between them	Intervention code：

组别：	高龄老年组 (80-99 岁)	样本量：	350
Group：	Older Age Group (80-99 years)	Sample size：	350
干预措施：	引导医患之间的积极接触，防止消极接触，减少医患之间刻板印象的干预措施	干预措施代码：
Intervention：	Intervention measures that guide positive contact between doctors and patients, prevent negative contact, and reduce stereotypes between them	Intervention code：

组别：	青中年医师 (18-40 岁)	样本量：	10
Group：	Young and Middle-aged Physicians (18-40 years)	Sample size：	10
干预措施：	引导医患之间的积极接触，防止消极接触，减少医患之间刻板印象的干预措施	干预措施代码：
Intervention：	Intervention measures that guide positive contact between doctors and patients, prevent negative contact, and reduce stereotypes between them	Intervention code：

组别：	初老医师 (41-50 岁)	样本量：	40
Group：	Early Aging Physicians (41-50 years)	Sample size：	40
干预措施：	引导医患之间的积极接触，防止消极接触，减少医患之间刻板印象的干预措施	干预措施代码：
Intervention：	Intervention measures that guide positive contact between doctors and patients, prevent negative contact, and reduce stereotypes between them	Intervention code：

组别：	高龄医师 (51-65 岁)	样本量：	100
Group：	Older Physicians (51-65 years)	Sample size：	100
干预措施：	引导医患之间的积极接触，防止消极接触，减少医患之间刻板印象的干预措施	干预措施代码：
Intervention：	Intervention measures that guide positive contact between doctors and patients, prevent negative contact, and reduce stereotypes between them	Intervention code：

研究实施地点：

Countries of recruitment and research settings：

国家：	中国	省(直辖市)：	北京	市(区县)：
Country：	China	Province：	Beijing	City：
单位(医院)：	北京医院	单位级别：	三甲
Institution hospital：	Beijing Hospital	Level of the institution：	Tertiary A

测量指标：

Outcomes：

指标中文名：	信任维度：患者诚实提供信息率、医嘱遵循程度、信任程度	指标类型：	主要指标
Outcome：	Trust Dimension: Rate of Patient Honesty in Information Provision, Adherence to Medical Advice, and Trust Level	Type：	Primary indicator
测量时间点：		测量方法：
Measure time point of outcome：		Measure method：

指标中文名：	沟通维度：沟通能力、主动性、病历书写情况、耐心、同理心	指标类型：	主要指标
Outcome：	Communication Dimension: Communication Skills, Proactivity, Medical Record Documentation, Patience, and Empathy	Type：	Primary indicator
测量时间点：		测量方法：
Measure time point of outcome：		Measure method：

指标中文名：	期望管理：医患期望差异、转归、风险、满意度	指标类型：	主要指标
Outcome：	Expectation Management: Patient-Physician Expectation Discrepancy, Outcomes, Risks, and Satisfaction	Type：	Primary indicator
测量时间点：		测量方法：
Measure time point of outcome：		Measure method：

指标中文名：	共情维度：患者情绪感知、沟通回应、换位思考、个人价值观与信仰尊重	指标类型：	主要指标
Outcome：	Empathy Dimension: Patient Emotional Perception, Communication Response, Perspective Taking, and Respect for Personal Values and Beliefs	Type：	Primary indicator
测量时间点：		测量方法：
Measure time point of outcome：		Measure method：

指标中文名：	合作维度：是否共同制定治疗计划、参与治疗过程程度、反馈与修正治疗过程、患者自主决策	指标类型：	主要指标
Outcome：	Collaboration Dimension: Joint Development of Treatment Plans, Degree of Participation in Treatment Process, Feedback and Adjustment of Treatment, and Patient Autonomy in Decision-Making	Type：	Primary indicator
测量时间点：		测量方法：
Measure time point of outcome：		Measure method：

指标中文名：	患者、医生诊疗过程满意度变化情况	指标类型：	主要指标
Outcome：	Changes in Patient and Physician Satisfaction During the Clinical Process	Type：	Primary indicator
测量时间点：		测量方法：
Measure time point of outcome：		Measure method：

采集人体标本：

Collecting sample(s)
from participants：

标本中文名：	无	组织：
Sample Name：	None	Tissue：
人体标本去向	其它	说明
Fate of sample：	0thers	Note：

征募研究对象情况：

Recruiting status：

尚未开始

Not yet recruiting

年龄范围：

Participant age：

最小 Min age	18	岁 years
最大 Max age	99	岁 years

性别：

男女均可

Gender：

Both

随机方法（请说明由何人用什么方法产生随机序列）：

通过不同年龄组的整群随机抽样，李超应用excel随机函数进行随机抽样。

Randomization Procedure (please state who generates the random number sequence and by what method)：

Through cluster random sampling across different age groups, Li Chao performed random sampling using the Excel RAND function.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法：	无
Blinding：	None

是否共享原始数据： IPD sharing	是Yes
共享原始数据的方式（说明：请填入公开原始数据日期和方式，如采用网络平台，需填该网络平台名称和网址）：	在ResMan（www.medresman.org）或北京大学开放研究数据平台（https://opendata.pku.edu.cn/）共享原始数据，公开日期：2027年6月1日-12月31日
The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url)：	The raw data will be shared on ResMan (www.medresman.org) or the Peking University Open Research Data Platform (https://opendata.pku.edu.cn/) , with a public release date from June 1, 2027, to December 31, 2027.
数据采集和管理（说明：数据采集和管理由两部分组成，一为病例记录表(Case Record Form, CRF)，二为电子采集和管理系统(Electronic Data Capture, EDC)，如ResMan即为一种基于互联网的EDC：	电子采集和管理系统，主要为excel软件、问卷星
Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture：	The electronic data collection and management system primarily consists of Excel software and Wenjuanxing (a popular online survey platform).
数据与安全监察委员会： Data and Safety Monitoring Committee：	暂未确定/Not yet
注册人： Name of Registration：	2026-03-17 08:49:35