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黄晓玲, 戴良铁. 医生群体因素在医患关系中影响及评价[J]. 中国公共卫生, 2016, 32(9): 1246-1248. DOI: 10.11847/zgggws2016-32-09-29
引用本文: 黄晓玲, 戴良铁. 医生群体因素在医患关系中影响及评价[J]. 中国公共卫生, 2016, 32(9): 1246-1248. DOI: 10.11847/zgggws2016-32-09-29
HUANG Xiao-ling, DAI Liang-tie. Self-reported professional practice and cognition related to doctor-patient relationship among clinical doctors[J]. Chinese Journal of Public Health, 2016, 32(9): 1246-1248. DOI: 10.11847/zgggws2016-32-09-29
Citation: HUANG Xiao-ling, DAI Liang-tie. Self-reported professional practice and cognition related to doctor-patient relationship among clinical doctors[J]. Chinese Journal of Public Health, 2016, 32(9): 1246-1248. DOI: 10.11847/zgggws2016-32-09-29

医生群体因素在医患关系中影响及评价

Self-reported professional practice and cognition related to doctor-patient relationship among clinical doctors

  • 摘要: 目的 了解目前医患关系中医生群体的职业精神现状,为建立和谐医患关系提供参考。方法 2014年8月,采用分层随机抽样法,抽取广东省广州市35家医院的1 320名医生进行问卷调查,使用SPSS 17.0软件对数据进行分析。结果 78.10%的医生认为目前医患关系一般及不太好;47.30%的医生能做到依法行医;在医疗质量、人文关怀、医患沟通、伦理关系、医疗方式、心理交流、情绪控制方面表现良好的分别占80.00%、74.40%、85.00%、78.50%、70.10%、75.00%、72.35%;认为医患关系紧张主要责任在医患双方的占58.90%;54.40%的医生曾遇侵医事件;有过度医疗的占29.17%,有自卫性医疗的占43.33%;考虑经济问题较多的占66.52%;高级职称组总均分、依法行医、医疗服务质量、人文关怀维度得分分别为(3.89±0.92)、(3.23±1.06)、(3.96±0.79)、(3.68±0.78)分,初、中级职称组分别为(3.59±0.95)、(2.37±0.76)、(3.58±0.73)、(3.40±0.73)分,差异均有统计学意义(均P<0.05);非手术组总均分、医患沟通、伦理关系、医疗方式、心理交流、情绪控制维度得分分别为(3.82±0.94)、(4.24±0.63)、(4.13±0.67)、(2.87±0.83)、(3.78±0.58)、(3.77±0.68)分,手术组得分分别为(3.56±0.91)、(4.01±0.56)、(3.92±0.65)、(2.66±0.83)、(3.42±0.80)、(3.13±0.86)分,差异均有统计学意义。结论 医生群体对医患关系总评价偏低,职业精神存在消极、自卫现象,有一定程度物化;大部分医生能尽心尽力为病人服务,素质高、医疗时间充裕的医生能获得更好的医患关系。

     

    Abstract: Objective To explore the status quo of doctor-patient relationship (DPR) and its related professional practice from the view point of clinical doctors and to provide evidences for establishing harmonious DPR.Methods A face-to-face interview with a self-designed questionnaire was conducted among 1 320 clinical doctors selected from 32 grade Ⅱ or Ⅲ hospitals in Guangdong province with stratified random sampling in August 2014.SPSS 17.0 was used in data analyses.Results Of the doctors surveyed,78.10% considered that DPR was at a general level and 47.30% evaluated themselve's medical service being in accordance with relevant laws and regulations.The ratios of the doctors reporting good personal professional practice were 80.00% in qualified medical service,74.40% in humanistic care,85.00% in doctor-patient communication,78.50% in ethnic management,70.10% in therapeutic suggestion,75.00% in psychological communication,and 72.35% in emotion control,respectively.There were 58.90% of the doctors considering that both doctors and patients are responsible for the stressed DPR,54.40% reporting the experience of aggression towards medical staff,29.90% reporting excessive medication,43.30 reporting medication for the purpose of self-protection,and 66.50% reporting concerns on economic issues.The doctors with senior professional tiles awarded significantly higher scores for overall DPR (3.89±0.92 vs.3.59±0.95),medical service in accordance with relevant laws and regulations (3.23±1.06 vs.2.37±0.76),quality of medical service (3.96±0.79 vs.3.58±0.73),and humanistic care (3.68±0.78 vs.3.40±0.73) compared to the doctors with junior or intermediate titles (P<0.05 for all);compared to the doctors working in surgery or obstetrics,the doctors working in other departments awarded significantly higher scores for overall DPR (3.82±0.94 vs.3.56±0.91),doctor-patient communication (4.24±0.63 vs.4.01±0.56),ethnic management (4.13±0.67 vs.3.92±0.65),therapeutic suggestion (2.87±0.83 vs.2.66±0.83),psychological communication (3.78±0.58 vs.3.42±0.80),and emotion control (3.77±0.68 vs.3.13±0.86)(P<0.05 for all).Conclusion Major part of clinical doctors in Guangdong province can provide good medical service although the overall evaluation on current doctor-patient relationship is generally low and negative attitude,self protection,and material concern in relation to doctor-patient relationship exist among the doctors.

     

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