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经由知情同意认知分析成都市公立医院医患关系现状

Analysis of Current Situation on Physician-Patient Relationship by Cognition of in informed consent in public hospitals of Chengdu

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【作者】 徐双燕苏维欧志梅陈莉娟管芝陈惠容赵立秋

【Author】 XU Shuang-yan1,SU Wei2,OU Zhi-mei,CHEN Li-juan,GUAN Zhi,CHEN Hui-rong,ZHAO Li-qiu(1.Chengdu No.7 People’s Hospital,Sichuan Chengdu 610021,China;2.The Public Health College,Sichuan University,Sichuan Chengdu 610041,China)

【机构】 成都市第七人民医院四川大学华西公共卫生学院

【摘要】 目的:了解成都市公立医院知情同意情况,分析医患关系现状。方法:问卷调查,内容包括感知医方语言告知,患者自主权经历认知比较。调查对象为社区居民(社会方)、住院病人(患方)和医务人员(医方)。数据由SPSS16.0及PPMs1.5处理,经应答排序、Kruskal-Wallis、Nemenyi检验。结果:3方总体形成正向评价认知共识,同时存在认知差异。社会方对医方语言告知评价低于患方,对医方自主权经历认知评价低于患方和医方;存在零告知、零自主权现象。结论:认知共识是知情同意的主体,更是医患关系的积极影响因素;认知差异是医患关系的主观影响因素之一;零告知、零自主权现象是医患关系的客观影响因素之一。

【Abstract】 Objective:To understand the informed consent in public hospitals of Chengdu,to evaluate the status of physician-patient relationship.Methods:Surveied community residents,patients and medical personnel with questionnaire which included communication and the quantity,quality.Data was tested by SPSS16.0 and PPMs1.5,by Mann-Whitney,Kruskal-Wallis,Nemenyi and other.Results:Tripartite had that informed consent were good.but,There was phenomenon of the differing cognition and consent.Conclusion:The recognition of informed consent between three major is the result mainly;cognitive differences affect the physician-patient relationship mostly;the communicating with insufficient,zero inform,zero consent are the important objective factors affecting physician-patient relationship.

【基金】 四川省卫生厅课题(060171)
  • 【文献出处】 现代临床医学 ,Journal of Modern Clinical Medicine , 编辑部邮箱 ,2010年03期
  • 【分类号】R197.3
  • 【被引频次】4
  • 【下载频次】138
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