医护人员对医患关系认知的影响因素分析
Analysis of influencing factors of medical staffs' perceptions ondoctor-patient relationship
刘倩楠 1王紫娟 1吴世超 1孙静 1刘远立1
作者信息
- 1. 100730 中国医学科学院 北京协和医学院公共卫生学院
- 折叠
摘要
目的 了解医护人员对医患关系现状的认知及影响因素,为进一步改善医疗服务提供建议和意见.方法 基于"全国进一步改善医疗服务行动计划第三方评估"(2016—2017年)对136家公立三级医院的调查结果,分析医护人员对医患关系的认知状况及影响因素.使用SAS 9.4软件对医护人员基本信息进行组间检验,采用二分类logistic回归对影响医护人员医患关系认知状况进行多因素分析.结果 医护人员对医患关系正在好转、职业认同及子女从医的认同,在不同医院类型、年龄、科室、职称、年收入水平间差异有统计学意义(P<0.05).患者满意度及医疗责任保险均是影响医护人员医患关系认知的主要因素(OR>1,P<0.05),门诊患者与本次接诊医生的沟通时间是影响医生医患关系认知的主要因素(OR>1,P<0.05).结论 应通过落实相关法律法规,完善医疗纠纷处理机制,保障医护人员权益;提高医护人员薪酬待遇,体现医护人员价值,从而提升职业认同;加强政府对相关媒体的舆论引导,创造良好执业环境,有利于构建和谐的医患关系.
Abstract
Objective To understand the current situation of doctors and nurses perceptions on doctor-patient relationship and its main influencing factors, and to make recommendations for further healthcare improvement. Methods Based on the survey results of the third-party evaluation of the National Healthcare Improvement Initiative of 136 public tertiary hospitals, we analyzed the doctors' and nurses' perceptions on doctor-patient relationship and the influencing factors. SAS 9.4 software was used to conduct variance test of doctors' and nurses' basic information and multivariate logistic regression analysis of the influencing factors of doctors' and nurses' perceptions on doctor-patient relationship. Results The recognition of doctors and nurses on the statement of "doctor-patient relationship has been getting better", their career identity and hoping children to study medicine varied significantly (P <0.05) with hospital type,age, department, academic rank, and annual income. The main influencing factors were patients' satisfactions and medical liability insurance (OR>1, P<0.05). Another main positive influencing factor was the communication duration between the doctor and outpatient(OR>1,P<0.05). Conclusions It is imperative to protect rights of doctors and nurses by enforcing relevant laws and regulations, and improving existing medical dispute handling mechanism. Other measures to this end include higher pay for medical workers equivalent to their value and career identity;media guidance by the government,which will all help create a better medical environment and doctor-patient relationship.
关键词
医务人员/医患关系/影响因素/回归分析Key words
Medical staff/Doctor-patient relationship/Influencing factors/Regression analysis引用本文复制引用
基金项目
国家卫生计生委医政医管局委托研究课题(2016)
出版年
2018
NETL
NSTL
维普
万方数据