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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
【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.
【Key words】 informed consent; physician-patient relationship; verbal consent; inform; consent; cognition;
- 【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