[1]张轩杨思琪吴依诺郭燕青王越马晶胡琳琳刘远立.医生对患者参与治疗决策的认知和实践现状[J].中国卫生质量管理,2021,28(11):001-5.[doi:10.13912/j.cnki.chqm.2021.28.11.01 ]
　ZHANG Xuan,YANG Siqi,WU Yinuo.Analysis of Chinese Doctors' Cognition and Practice of Patients' Participation in Treatment Decision-Making[J].Chinese Health Quality Management,2021,28(11):001-5.[doi:10.13912/j.cnki.chqm.2021.28.11.01 ]
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医生对患者参与治疗决策的认知和实践现状
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第28卷
期数:
2021年11期
页码:
001-5
栏目:
特别关注
出版日期:
2021-11-28

文章信息/Info

Title:
Analysis of Chinese Doctors' Cognition and Practice of Patients' Participation in Treatment Decision-Making
作者:
张轩杨思琪吴依诺郭燕青王越马晶胡琳琳刘远立
北京协和医学院卫生健康管理政策学院
Author(s):
ZHANG Xuan; YANG Siqi; WU Yinuo
School of Health Policy and Management, Peking Union Medical College
关键词:
患者参与; 治疗决策; 医生; 三级公立医院; 服务质量
Keywords:
Patient Participation;  Treatment Decision-Making; Doctors; Tertiary Public Hospitals; Service Quality
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2021.28.11.01
文献标志码:
A
摘要:
目的了解我国三级公立医院医生对患者参与治疗决策的认知和实践现状，为进一步提高患者治疗决策参与度提出建议。方法依托第5次“全国改善医疗服务行动第三方评估”项目，选取全国31个省（自治区、直辖市）及新疆生产建设兵团共136家三级公立医院医生进行问卷调查。结果共收回22 836份有效问卷。其中，认为有必要让患者参与治疗决策和鼓励患者说出对于治疗方案意见的医生分别有18 405名（占比80.6%）和18 353名（占比80.4%），面对不同治疗方案时倾向于尊重患者意见的医生有12 040名（占比52.7%）。除职称外，不同特征医生认为有必要让患者参与治疗决策的比例和鼓励患者说出对于治疗方案意见的比例具有统计学意义（P＜0.05）。除职称和地区外，不同特征医生面对不同治疗方案倾向于尊重患者意见的比例具有统计学意义（P＜0.05）。结论我国三级公立医院医生对患者参与治疗决策持积极态度，但在治疗过程中受多种因素影响未有效落实。各医院可结合自身实际，制定鼓励患者参与治疗决策的相关措施。
Abstract:
ObjectiveTo understand the status quo of doctors' cognition and practice of patients' participation in treatment decision-making in tertiary public hospitals in China, and to provide suggestions for further improving patients' participation in treatment decision-making.MethodsRelying on the fifth "National Third-Party Evaluation of Actions to Improve Medical Service" project, a total of 136 third-level public hospital doctors from 31 provinces (autonomous regions and municipalities) and Xinjiang Production and Construction Corps were selected to conduct a questionnaire survey.ResultsA total of 22 836 valid questionnaires were collected. Among them, there are 18 405 doctors (80.6%) and 18 353 (80.4%) who believe that it is necessary to involve patients in treatment decision-making and encourage patients to express their opinions on treatment options. They tend to face different treatment options. There are 12 040 doctors who respect the opinions of patients (52.7%). In addition to professional titles, the proportion of doctors with different characteristics that it is necessary to involve patients in treatment decision-making and the proportion of patients who encourage patients to say their opinions on the treatment plan are statistically different (P<0.05). Except for professional titles and regions, there were statistical differences in the proportion of doctors with different characteristics who tended to respect the opinions of patients when faced with different treatment plans (P<0.05).Conclusion Doctors in tertiary public hospitals in my country have a positive attitude towards patients' participation in treatment decision-making, but they have not been implemented due to many factors in the treatment process. Each hospital can formulate relevant measures for patients to participate in treatment decision-making based on their own actual conditions.

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更新日期/Last Update: 2021-11-28