摘要
设计并发放包括费用、诊疗方法、药品信息、手术麻醉及放射检查等五方面内容所组成的调查问卷500份,收回有效问卷223份。问卷调查显示:①51.7%的患者有获得知情权的要求并被实现;28.5%的患者有知情的要求,但因医方告知不到位而无法实现;②关于药品费用,知情率不及25%;关于四个诊疗环节细分项目,知情度为40%～65%;③就目前的告知方式和内容而言,其所产生的知情、理解、接受效果在75岁以下年龄段的中青年组和老年组间,没有显著差别(P>0.05)。传统的三级查房诊疗模式及对知情权法律属性的过分强调所形成的思维惯性,是影响知情权实现不可忽略的因素。并就代理人、告知的法律惯性思维及传统诊疗模式等三个制约因素,从伦理学的角度进行了辨析。有患者参与的定期诊疗小组工作会议的形式,是解决信息由单向性传递向双向性互动,使知情权得以充分实现,医学伦理学理念得以体现的有效途径。
Design and distribution, including costs, treatments, drug information, surgical anesthesia, and radiographic aspects of the five questionnaire consisting of 500, 223 valid questionnaires were effective. Survey showed that： ①51.7% of patients have fight to know the requirements and can be achieved; 28.5% of the patients had informed request, but because the medical side of this is not in place and can not be achieved; ② the cost of drugs, informed the rate is less than 25 % ; breakdown on four aspects of diagnosis and treatment, informed degree of 40% -65 % ;③ informed on current methods and content, it generates knowledge, understanding and acceptance of results in 75 years of age the young age group and older group, no significant difference （ P 〉 0.05 ）. The traditional three rounds of treatment patterns and legal property right to know too much emphasis on the formation of the inertia of thinking, affect the realization of the right to know the factors that can not be ignored. And to the agent to inform the law of inertia of thinking and traditional treatment model restraining factor of three, from an ethical point of view of the Analysis. There are regular clinic patients in the form of group work session, is to solve the information passed by the one - way to two - way interaction, so that the right to know fully realized and embodied the concept of medical ethics and effective way.
出处
《中国医学伦理学》
2011年第4期551-553,共3页
Chinese Medical Ethics
关键词
知情同意
传统诊疗模式
医学伦理理念
医疗知情效果
医患沟通
Informed Consent ： Traditional Treatment Model
The Concept of Medical Ethics Thinking Inertia
The Effect of Medical Knowledge
Doctor - patient Communication
