摘要
目的:了解医患双方对医疗纠纷的认知情况,分析医疗纠纷的成因并提出防范对策。方法:采取分层抽样方法抽取130名医务人员和130名患者进行问卷调查,运用描述性分析、卡方检验等统计学方法进行数据分析。结果:医患双方均对医患现状持乐观态度,差异无显著性(P>0.05),而双方对医患信任程度、医患关系性质、医疗纠纷责任主体、法律法规认同和医疗纠纷解决途径的认知差异有显著性(P<0.01),医方、患方分别认为医疗体制改革滞后和医务人员医德缺失是引发医疗纠纷的首要原因,对于医疗纠纷第三方调解均最看重调查是否中立。结论:防范医疗纠纷,增进医患信任是前提,有效的医患沟通是必要条件,正确的价值导向是外部保障。
Objective：To understand the cognition of medical staff and patients on medical disputes in a hospital of Nanning and analyze the reasons of medical disputes, to propose the prevention countermeasures. Methods：The stratified random sampling was used to investigate 130 medical staff and 130 patients, whose data were analyzed through descriptive analysis and Chi-squared test etc. Results：Both patients and medical staff were optimistic about the current relationship between patients and medical staff with no statistical significance （P〉0. 05）. However, it was statistically significant （P〈0. 01） concerning the awareness from the perspective view of medical staff and the patients on the level of the credibility and the nature of the relationship between medical staff and patients, the responsible party in a medical dispute, the acknowledgement of legislation and policies and the solutions addressing medical distribution. On the perspective of the medical staff, they thought the primary cause of the medical dispute was the prolonged medical system reform;while for the patients, they thought the lack of medical ethics was the primary cause of the medical disputes. For the third party mediation of medical olisputes, they all value most the neutrality of mediation. Conclusion： To prevent medical disputes, increasing the credibility between medical staff and the patients is the precondition, effective communication between medical staff and patients is a necessary requirement, and correct value proposition is the external guarantee.
出处
《医学与社会》
2016年第5期78-80,84,共4页
Medicine and Society
关键词
医疗纠纷
医务人员
患者
认知
南宁
Medical Dispute
Medical Staff
Patients
Awareness
Nanning
