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江苏卫生事业管理:2022,Vol.>>Issue(9):1170-1175
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江苏省大型医院患者就医特征调查研究△
季文杰,王东进,刘 虹,钱东福*
(南京医科大学医政学院,南京鼓楼医院心胸外科;南京医科大学人文社会科学学院)
Investigation and Research on the Characteristics of Patients in Large Hospitals in Jiangsu Province△
JI Wenjie,WANG Dongjin,LIU Hong,QIAN Dongfu*
(School of Health Policy & Management,Nanjing Medical University,Cardiothoracic Surgery Department,Nanjing Drum Tower Hospital;School of Humanities and Social Sciences,Nanjing Medical University)
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中文摘要: 目的:基于对江苏省大型三甲医院医患群体的调查,从患者总体就医认知、就医心理和期望、就医行为与感受等方面,研究患者就医特征,并对构建理性就医行为提出参考建议。方法:采用随机抽样方法,对苏北、苏中及苏南9家医院的医患群体进行问卷调查,采用描述性分析和卡方检验等方法对医患双方的回答进行处理。结果:在患者总体就医认知方面,大部分患者缺乏对就医义务的认知和担当;患者对医学带教和医学发展认知存在局限,对就诊结果期望过高是造成医患纠纷的主要原因;对暴力伤医的犯罪行为存在错误认知。在就医心理和期望方面,患者在就诊时最关注与疾病诊疗相关内容,最担心出现医疗过失或差错;但医方认为患者更关注诊疗费用。患者的心理压力负担普遍超过了身体疾病带来的痛苦,医务人员的服务态度对患者的心理影响较大。在就医行为与感受方面,患者的就医选择与国家政策不契合;患者对良好医患关系、服务态度的期望值较高;医患双方倾向形成若朋友般的关系;患者在医患沟通中往往处于被动,医方良好的倾听和解释技巧可以让患者获得良好的沟通感受。结论:患者群体的就医认知存在缺陷,非理性就医思维与行为表现明显,医患双方的信息不对称和角色差异使得医患关系和医患信任度面临较大挑战。政府部门、教育与卫生行政部门应尽早从完善法律、普及患者公众教育、加强医生培训等方面帮助患者群体回归理性就医行为。
Abstract:Objective:Based on the investigation of the group of doctors and patients in largegrade A tertiary hospitals in Jiangsu Province,from the aspects of patients’ overall medical cognition,medical psychology and expectation,medical behavior and feeling,to study the characteristics of patients’ medical treatment,and provide reference and suggestions for constructing rational medical treatment behavior. Methods:Random sampling method was used to conduct a questionnaire survey among doctors and patients in 9 hospitals in northern Jiangsu,central Jiangsu and southern Jiangsu,and the responses of both doctors and patients were processed by descriptive analysis and chi-square test. Results:In terms of patients’ overall medical cognition,most patients lacked the cognition and responsibility of medical treatment obligations. The patients’ cognition of medical teaching and medical development was limited,and high expectations of medical treatment results were the main reasons for doctor-patient disputes. There was a misunderstanding of the criminal behavior of violent injury to doctors. In terms of medical psychology and expectations,patients were most concerned about the content related to disease diagnosis and treatment when they visited a doctor,and worried about medical negligence or errors,but doctors believed that patients paid more attention to the cost of diagnosis and treatment. The psychological burden of patients generally exceeded the burden caused by physical diseases,so the service attitude of medical staff had a greater impact on the patient’s psychology. In terms of medical behavior and feelings,patients’ medical choices did not conform to national policies;patients had high expectations for a good doctor-patient relationship and service attitude. Both doctors and patients tended to form a friendship-like relationship,as patients were always at a disadvantage in doctor-patient communication,the doctor’s good listening and interpretation skills could make the patient get a good communication experience. Conclusion:There are defects in the patient group’s medical cognition,and the irrational thinking and behavior of medical treatment are obvious. The information asymmetry and role differences between doctors and patients make the doctor-patient relationship and doctor-patient trust face greater challenges. Government departments,education and health authorities should help patient groups return to rational medical treatment behaviors as soon as possible by improving laws,popularizing public education for patients,and strengthening doctor training.
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基金项目:南京大学医院管理研究所2019年医院管理研究课题(NDYG2019005) 南京大学医院管理研究所2019年医院管理研究课题(NDYG2019005)
引用文本:
季文杰,王东进,刘 虹,钱东福*.江苏省大型医院患者就医特征调查研究△[J].江苏卫生事业管理,2022,33(9):1170-1175.
JI Wenjie,WANG Dongjin,LIU Hong,QIAN Dongfu*.Investigation and Research on the Characteristics of Patients in Large Hospitals in Jiangsu Province△[J].Jiangsu Health System Management,2022,33(9):1170-1175.

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