摘要
目的:调查和评价预防接种知情同意过程及效果。方法:采用观察法和访谈法,对两家计免门诊接种现场进行实地观察,并对19位儿童家长进行半结构式深度访谈。结果:知情同意书作为书面告知形式并不能承担全部告知作用,也无法全面反映受种者的知情效果。医务人员因接种任务重、知识水平不一,未进行详细的口头告知,知情过程简化为在知情同意书上签字。发生预防接种不良事件后,受种方常认为知情环节未起到告知作用、"不知情"是导致预防接种不良事件的主要原因。结论:集中接种易产生"不知情"或"知情不充分"的情况,知情过程需采用其他知情告知形式补充。
Objective:To investigate and evaluate the procedure and effects of informed consent in vaccination.Methods:Observation method and interview method were adopted in two community health centers and semi-structured depth interview was conductedin19parents.Results:As a form of written notification,the informed consent could not bear all the informing effect,nor could it reflect the informed effect of the recipient.Oral informing by the medical staff was limited due to the context and the knowledge of medical staff.The informed process was simplified as signing the informed consent.If adverse events following immunization ever happened,the parents attributed the cause to the informed consent procedure and"uninformed"was the major cause of adverseevents following immunization.Conclusion:Concentrated vaccination was easy to produce"uninformed"or"insufficiently informed"situation.More varied formats of informing methods are recommended.
作者
张颖
彭向东
胡晓江
Zhang Yin;Peng Xiangdong;Hu Xiaojiang(School of Social Development and Public Policy,Beijing Normal University,Beijing100875)
出处
《医学与社会》
2017年第12期4-6,10,共4页
Medicine and Society
基金
国家自然科学基金"预防接种异常反应:风险的社会扩大和社会管理"
编号为71373027
中央高校基本科研业务费专项资金资助
关键词
预防接种
知情同意
不良事件
北京
Vaccination
Informed Consent
Adverse Event
Beijing
