[1]明坚 魏艳 何露洋 王弓茹 李君秋 柯雄 李娜 陈英耀.我国医学新技术临床应用中医患沟通与决策模式探讨[J].中国卫生质量管理,2017,24(06):086-89.[doi:10.13912/j.cnki.chqm.2017.24.6.28]
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我国医学新技术临床应用中医患沟通与决策模式探讨
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第24卷
期数:
2017年06期
页码:
086-89
栏目:
卫生技术评估专栏
出版日期:
2017-11-28

文章信息/Info

作者:
明坚 魏艳 何露洋 王弓茹 李君秋 柯雄 李娜 陈英耀
复旦大学公共卫生学院
关键词:
医学新技术; 医患沟通; 医患共同决策; 药物支架技术; 高通量测序技术
Keywords:
Medical Technology;  Doctor-Patient Communication;  Doctor-Patient Shared Decision Making;  Drug-Eluting Stent;  High-Throughput Gene Sequencing
DOI:
10.13912/j.cnki.chqm.2017.24.6.28
摘要:
目的分析我国医学新技术临床应用中的医患沟通现况及决策模式，为相关研究和临床实践提供参考。 方法针对高通量基因测序、药物涂层支架两项具体新技术，采用横断面设计和多阶段分层抽样方法，对上海市、福建省、四川省19家医院的患者及医生进行调查。结果共调查了5城市19家医院的950位患者（心内科178位，妇产科233位，其他科室554位）和908位医生（心内科158位，妇产科177位，其他科室556位）；54.9%~63.5%患者会主动向医生表达诉求，52.8%~58.9%得到医生回应；85.3%~96.7%医生会征
Abstract:
ObjectiveTo analyze the current situation and decision-making mode of communication between doctors and patients in the clinical application of new medical technologies. Methods Based on the two new medical technologies of high-throughput gene sequencing and drug-eluting stent, a survey was conducted among patients and doctors from 19 hospitals in Shanghai, Fujian, and Sichuan by using the cross-sectional design and multi-stage stratified sampling method. ResultsA total of 950 patients (178 in Cardiology Department, 233 in Obstetrics Department and 554 in other departments) and 908 doctors (158 in Cardiology Department, 177 in Obstetrics Department and 556 in other departments) from 19 hospitals in 5 cities were investigated. 54.9%~63.5% of the patients initiatively expressed their demands to doctors, and 52.8%~58.9% received response from doctors; 85.3%~96.7% of doctors asked opinion from patients, and 41.5%~52.5% of doctors thought patient’s appeal would affect the use of medical technology; 83.4%~94.3% of the patients preferred doctor-patient co-decision, while 85.8%~91.5% of the patients and 63.9%~91.6% of the doctors perceived shared decision-making mode. ConclusionThe communication between doctors and patients in clinical application of new medical technology needs to be strengthened. Most patients prefered shared decision-making and perceived shared decision-making mode. It was suggested to strengthen the interaction between doctors and patients in term of adoption of new medical technology.

参考文献/References:

［1］Spatz E S, Spertus J A. Shared decision making: a path toward improved patient-centered outcomes［J］.Circ Cardiovasc Qual Outcomes. 2012, 5(6): 75-77.

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更新日期/Last Update: 2017-11-28