摘要
目的:了解医务人员对医患冲突的认知与态度,以寻求建立和谐医患关系的途径。方法:采取分层整群抽样方法,以自编问卷对243名医务人员进行调查,数据采用SPSS13.0统计软件进行分析。结果:23%的医务人员认为引起医患冲突的责任主体是医方,21.8%的人认为是患方,55.1%的认为医患双方都有责任。30～49岁的人中有30.8%认为责任在医方,29岁及以下有25.9%的人认为责任在患方,50岁及以上有85.7%的人认为责任在医患双方。内科有34.9%的人认为责任主体是医方,妇产科有33.3%的人认为责任在患者,对责任主体的认知与年龄、科室类别有关(P<0.05)。其主要诱因是医患沟通不够、收费不合理、医德因素,分别占53.1%、44.9%、44.4%。如何解决医患冲突,22.6%的人支持行政协调,20.2%的人倾向于自我调节,8.6%的人赞成运用法律手段,而51.0%的人认为应采用多种手段。对其解决的手段与医务人员的年龄、职称有关(P<0.05)。结论:加强医患沟通,提高医务人员对医患冲突的责任意识以及对解决手段的认知是建立和谐医患关系的根本措施。
Objective To understand the medical staffs＇ cognition and attitude towards disputes between doctors and patients,and explore the pathway to establish harmonious relationship between doctors and patients. Methods 243 cases of medical staffs were randomly chosen with stratified cluster sampling and surveyed with self-made questionnaire. Data was analyzed with software of SPSS 13.0. Results 23% of medical staffs regarded the main responsibility subject for doctor＇patient disputes as medical staffs,while 21.8% of them regarded it as patients, and 55.1% of them regarded it as both sides. For the age,30.8% of medical staffs aged from 30 to 49 regarded the main responsibility subject as medical staffs. 25.9% of medical staffs under 29 regarded it as patients. And 85.7% of medical staffs aged over 50 regarded it as both sides. For the departments,34.9% of medical staffs from internal medicine regarded the main responsibility subject as medical staffs. And 33.3% of medical staffs from gynae-eology and obstetrics regarded it as patients. Cognition of responsibility on doctor-patient disputes is associated with age and department （ P 〈 0.05）. The main causes of doctor-patient disputes were insufficient communication between doctors and patients, unreasonable medical cost and medical ethics,which accounted for 53.1% ,44.9% and 44.4% , respectively. To deal with doctor-patient disputes ,22.6% of them admitted administrative coordination. 20.2% preferred to self-regulation. 8.6% were in favor of legal means. While 51% believed comprehensive pathways. Ideas of handling doctor-patient disputes were associated with age and professional title （P 〈 0.05）. Conclusion The fundamental measures to establish harmonious doctor-patient relationship are to strengthen communication between doctors and patients, improve responsibility consciousness and cognition of handling disputes of medical staffs.
出处
《中国卫生事业管理》
北大核心
2013年第6期413-415,共3页
Chinese Health Service Management
基金
教育部人文社会科学研究规划课题(编号:11YJA840023)
关键词
医患关系
医患冲突
认知
态度
relationship between doctors and patients
disputes between doctors and patients
cognition
attitude
