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基于医务人员视角的医患关系现状及影响因素调查

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目的 从医务人员视角分析医患关系的现状,分析其影响因素。方法 于 2015 年 1 月至 2020 年12 月采用整群抽样法对甘肃省武威市 3 所三甲医院不同年资的医务人员进行医患关系问卷调查,分析医患关系现状及其主要影响因素。结果 本次研究收回有效问卷 1 375 份。医务人员认为医患关系非常和谐占比2。47%,比较和谐占比11。27%,一般和谐占比59。78%,不和谐占比26。47%。对于医患关系的判断依据排名第一为自己感受,占比 66。04%。82。33%的医务人员认为和谐的医患关系应该是相互信任-理解-帮助型关系。57。42%的医务人员认为患者相关医疗知识欠缺,检查和治疗的依从性差是导致医患关系不和谐的主要患方责任;63。86%的医务人员认为医患沟通交流不足是导致医患关系不和谐的主要医方责任;84。68%的医务人员认为医疗保障不够,治疗成本过高是导致医患关系不和谐的主要社会和政府责任。87。93%的医务人员认为和谐的医患互动取决于医患间的沟通和理解能力;42。11%的医务人员认为构建和谐的医患关系关键因素在于加强医务人员与患者的沟通;41。38%的医务人员认为应建立健全医疗保障制度,增加政府投入。结论 医患沟通不足、患者相关医疗知识欠缺、治疗成本高是导致医患关系不和谐的主要因素。建议加强医患之间的沟通交流机制、建立健全医疗体制、进行合理媒体宣传引导来改善医患关系。
Investigation on the current situation and influencing factors of doctor-patient relationship based on the perspective of medical staff
Objective To analyze the current situation of doctor-patient relationship and its influencing factors from the perspective of medical staff.Methods From January 2015 to December 2020,the cluster sampling method was used to conduct a questionnaire survey on the doctor-patient relationship among medical staff with different seniority in three tertiary hospitals in Wuwei city,Gansu province,and the current situation of doctor-patient relationship and main influencing factors were analyzed.Results In this study,1 375 valid questionnaires were collected.The medical staff thought that the doctor-patient relationship was very harmonious accounted for 2.47% ,relatively harmonious accounted for 11.27% ,general harmonious accounted for 59.78% ,and disharmony accounted for 26.47% .The basis for judging the doctor-patient relationship ranked first for their own feelings,accounting for 66.04% .82.33% of the medical staff believed that a harmonious doctor-patient relationship should be a mutual trust-understanding-help relationship.57.42% of the medical staff believed that the lack of relevant medical knowledge of patients and poor compliance with examination and treatment were the main patients'responsibilities leading to the disharmony of doctor-patient relationship;63.86% of the medical staff believed that the lack of communication between doctors and patients was the main medical responsibility leading to the disharmony of doctor-patient relationship;84.68% of the medical staff thought that the medical security was not enough,and the high cost of treatment was the main social and government responsibility that leads to the disharmony between doctors and patients.87.93% of the medical staff believed that harmonious doctor-patient interaction depended on the ability of communication and understanding between doctors and patients;42.11% of the medical staff believed that the key factor to build a harmonious doctor-patient relationship was to strengthen the communication between medical staff and patients;41.38% of the medical staff believed that the medical security system should be established and improved,and the government investment should be increased.Conclusion The lack of doctor-patient communication,the lack of relevant medical knowledge of patients and the high cost of treatment are the main factors leading to the disharmony of doctor-patient relationship.It is suggested to strengthen the communication mechanism between doctors and patients,establish and improve the medical system,carry out reasonable media publicity and guidance to improve the doctor-patient relationship.

medical staffdoctor-patient relationshipinfluencing factor

王静、秦天燕、史发林、李强华、张春花、徐中山、袁嘉、刘金红

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甘肃省武威肿瘤医院,甘肃 武威,730000

医务人员 医患关系 影响因素

武威市市列科技计划项目

WW2002083

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(6)
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