摘要
目的从医务人员视角分析医患关系的现状,分析其影响因素。方法于2015年1月至2020年12月采用整群抽样法对甘肃省武威市3所三甲医院不同年资的医务人员进行医患关系问卷调查,分析医患关系现状及其主要影响因素。结果本次研究收回有效问卷1375份。医务人员认为医患关系非常和谐占比2.47%,比较和谐占比11.27%,一般和谐占比59.78%,不和谐占比26.47%。对于医患关系的判断依据排名第一为自己感受,占比66.04%。82.33%的医务人员认为和谐的医患关系应该是相互信任-理解-帮助型关系。57.42%的医务人员认为患者相关医疗知识欠缺,检查和治疗的依从性差是导致医患关系不和谐的主要患方责任;63.86%的医务人员认为医患沟通交流不足是导致医患关系不和谐的主要医方责任;84.68%的医务人员认为医疗保障不够,治疗成本过高是导致医患关系不和谐的主要社会和政府责任。87.93%的医务人员认为和谐的医患互动取决于医患间的沟通和理解能力;42.11%的医务人员认为构建和谐的医患关系关键因素在于加强医务人员与患者的沟通;41.38%的医务人员认为应建立健全医疗保障制度,增加政府投入。结论医患沟通不足、患者相关医疗知识欠缺、治疗成本高是导致医患关系不和谐的主要因素。建议加强医患之间的沟通交流机制、建立健全医疗体制、进行合理媒体宣传引导来改善医患关系。
Objective To analyze the current situation of doctor-patient relationship and its influencing factors from the perspective of medical staff.Methods From January 2015 to December 2020,the cluster sampling method was used to conduct a questionnaire survey on the doctor-patient relationship among medical staff with different seniority in three tertiary hospitals in Wuwei city,Gansu province,and the current situation of doctor-patient relationship and main influencing factors were analyzed.Results In this study,1375 valid questionnaires were collected.The medical staff thought that the doctor-patient relationship was very harmonious accounted for 2.47%,relatively harmonious accounted for 11.27%,general harmonious accounted for 59.78%,and disharmony accounted for 26.47%.The basis for judging the doctor-patient relationship ranked first for their own feelings,accounting for 66.04%.82.33%of the medical staff believed that a harmonious doctor-patient relationship should be a mutual trust-understanding-help relationship.57.42%of the medical staff believed that the lack of relevant medical knowledge of patients and poor compliance with examination and treatment were the main patients'responsibilities leading to the disharmony of doctor-patient relationship;63.86%of the medical staff believed that the lack of communication between doctors and patients was the main medical responsibility leading to the disharmony of doctor-patient relationship;84.68%of the medical staff thought that the medical security was not enough,and the high cost of treatment was the main social and government responsibility that leads to the disharmony between doctors and patients.87.93%of the medical staff believed that harmonious doctor-patient interaction depended on the ability of communication and understanding between doctors and patients;42.11%of the medical staff believed that the key factor to build a harmonious doctor-patient relationship was to strengthen the communication between medical staff and patients;41.38%of the medical staff believ
作者
王静
秦天燕
史发林
李强华
张春花
徐中山
袁嘉
刘金红
WANG Jing;QIN Tianyan;SHI Falin;LI Qianghua;ZHANG Chunhua;XU Zhongshan;YUAN Jia;LIU Jinhong(Gansu Wuwei Tumour Hospital,Wuwei 730000,China)
出处
《临床医学研究与实践》
2024年第6期13-16,共4页
Clinical Research and Practice
基金
武威市市列科技计划项目(No.WW2002083)。
关键词
医务人员
医患关系
影响因素
medical staff
doctor-patient relationship
influencing factor
