The Impact of Medical-Health Trust on Satisfaction with the Healthcare System: Based on Principal-Agent Theory

Jing Xiao; Lijun Wan; Yiming Liu

doi:10.6981/FEM.202610_7(10).0013

Authors

Jing Xiao School of Economics and Management, Harbin Normal University, Harbin 150025, China
Lijun Wan School of Economics and Management, Suqian University, Suqian 223800, China
Yiming Liu School of Management, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China

DOI:

https://doi.org/10.6981/FEM.202610_7(10).0013

Keywords:

Principal-Agent Theory; Medical-Health Trust; Healthcare System Satisfaction; CFPS Data.

Abstract

Based on principal‑agent theory, this paper employs CFPS data to investigate how medical‑health trust affects satisfaction with the healthcare system. Model construction and empirical results show that medical‑health trust exerts a significant positive influence on system‑level satisfaction, and such effects vary across different population groups. From the dimensions of information asymmetry and incentive mechanisms within principal‑agent theory, this paper puts forward targeted policy suggestions. The findings can provide theoretical reference and practical implications for improving the operational efficiency and public satisfaction of China’s healthcare system.

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References

[1] Hu, S. Y., Zhang, X. F., & Song, G. (2021). Study on doctor-patient principal-agent relationship under the background of "internet + medical health". Brand and Standardization, (01), 23–25.

[2] Tang, N. J. (2021). Investigation, analysis and intervention countermeasures of conflicts in doctor-patient relationship. China Community Doctors, 37(28), 191–192.

[3] He, M. J., & Cui, Y. M. (2020). The impact of information asymmetry on modern doctor-patient relationship in China and its countermeasures. Journal of Suzhou University of Science and Technology (Social Science Edition), 37(06), 39–45.

[4] Qin, J. Z. (2025). Doctor-patient relationship under the background of aging society: From the perspective of fiduciary law. Chinese Journal of Gerontology, 45(11), 2787–2791.

[5] Shi, L., Lin, Z., & Zeng, Z. R. (2017). Preliminary study on principal-agent problem in doctor-patient relationship. Chinese Medical Ethics, 30(03), 343–347.

[6] Zhang, X. J. (2013). Preliminary study on several issues of doctor-patient relationship in China under asymmetric information. Ability and Wisdom, (21), 294.

[7] Ling, Z. P., Lin, Y., & Zhang, J. (2017). Conflict risk analysis of doctor-patient relationship in mobile internet medical care. Chinese Journal of Health Informatics and Management, 14(04), 561–564.

[8] Jiang, H., & Zhang, Y. N. (2015). Doctor market analysis from the perspective of asymmetric information: Adverse selection and signal transmission. Health Economics Research, (05), 30–33.