综合医院防御性医疗行为的现状及相关因素调查研究
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- 论文作者：刘宏眉 ; 李雪锋 ; 杨晓枫 ; 杨军 ; 许虹 ; 梁季瑜
- 年：2016
- 作者机构：眉山市人民医院;
- 论文关键词：防御性医疗行为 ; 相关因素 ; 问卷调查 ; 综合医院
- 英文论文关键词：Defensive medical behavior ; Related factors ; Questionnaire survey ; General Hospital
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R197.3
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：2028k
- 原文格式：D
- 会议级别：全国
摘要
目的:探讨防御性医疗行为在综合医院的现状、原因、关键影响因素。方法:采用文献检索专家访谈等制作问卷并进行调查,收集关于防御性医疗行为的资料及其影响因素相关资料,运用统计学方法对防御性医疗行为进行多因素分析。结果:因子性别、职称、年龄、工作部门、受表扬、投诉或纠纷对DM得分影响均有统计学意义(P<0.05),其中因子性别、投诉或纠纷对DM得分的影响为正向,而因子职称、年龄、工作部门、受表扬对DM得分的影响为负向。结论:女性、有被投诉或医疗纠纷经历、职称越低、年龄小、手术科室、未受表扬经历为综合医院医生防御性医疗行为产生的高危因素,通过合理的规避和纠正这些因素,能减少防御性医疗行为,提升综合医院的综合实力,让患者获得更加优质的医疗服务。
Objective: factors affecting the status, causes, to explore the key defensive medical behavior in general hospital. Methods: using literature retrieval expert interview to makequestionnaire and make a survey, data collection factors and its impact on the defensive medical behavior related data, using statistical approach for multi factors on the defensive medical behavioranalysis. Results: gender, age, job title, Department, praise, complaints or disputes have significant influence on the score of DM(P<0.05), the influence of gender, complaint or dispute on the scoreof DM is positive, while the factor of age, professional title, work department, affected by the praise on the score of DM is negative. Conclusion: women, have been complaints or medical disputesexperience, the title is low, the younger age and surgical departments, praised the high risk factor of doctor defensive medical behavior experience for general hospital, by avoiding and correcting thesefactors reasonably, can reduce the defensive medical behavior, enhance the comprehensive strength of general hospital, let patients get more the quality of medical service.
Objective: factors affecting the status, causes, to explore the key defensive medical behavior in general hospital. Methods: using literature retrieval expert interview to makequestionnaire and make a survey, data collection factors and its impact on the defensive medical behavior related data, using statistical approach for multi factors on the defensive medical behavioranalysis. Results: gender, age, job title, Department, praise, complaints or disputes have significant influence on the score of DM(P<0.05), the influence of gender, complaint or dispute on the scoreof DM is positive, while the factor of age, professional title, work department, affected by the praise on the score of DM is negative. Conclusion: women, have been complaints or medical disputesexperience, the title is low, the younger age and surgical departments, praised the high risk factor of doctor defensive medical behavior experience for general hospital, by avoiding and correcting thesefactors reasonably, can reduce the defensive medical behavior, enhance the comprehensive strength of general hospital, let patients get more the quality of medical service.
引文
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[12]谭亚.防御性医疗行为成因分析及应对策略[J].中国医学伦理学,2011,02:160-161+172.
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[15]程红群.军地医院医师防御性医疗行为比较[J].解放军医院管理杂志,2011,11:1041-1043.
[16]李平.过度医疗的成因及其对策探讨[J].法制与社会,2012,03:80-81.
[2]曹志辉,陈丽丽.医疗纠纷对医师防御性医疗行为影响的实证研究[J].中国医院管理,2014,09:9-11.
[3]曹志辉,吴明.基于临床路径的医师防御性医疗行为测量与分析[J].中国医院管理,2014,09:12-14.
[4]和经纬.公立医院医生防御性医疗行为及其影响因素研究——基于广东省某市公立医院医生问卷调查的实证研究[J].中国卫生政策研究,2014,10:33-39.
[5]王安富,黄敏,李连宏.论过度性医疗、保护性医疗与防御性医疗的法律界定[J].医学与哲学(A),2013,05:67-69.
[6]韩彩欣,李营,韩彩芬,张召,曹志辉,张晓凤,赵燕,杜宏巍.承德市某医院医疗纠纷现状及对医生诊疗行为的影响研究[J].中国卫生事业管理,2013,08:573-575.
[7]吕群蓉.美国医疗责任保险制度困境的破解之道及其启示[J].法商研究,2014,03:152-160.
[8]凌高锦.医疗侵权诉讼之证明责任问题研究[J].证据科学,2014,03:360-372.
[9]张红丽,郑红艳,刘家惠,张月玲,张春梅.医疗纠纷对医护人员防御性医疗行为影响的研究[J].卫生软科学,2015,05:295-298.
[10]彭康为,黄奕祥.深圳市某区医生防御性医疗行为的分布和成因调查[J].华南国防医学杂志,2015,05:385-387.
[11]马洪芳,杜艳英,刘艳,曹志辉.河北省医院防御性医疗现状的调查分析[J].产业与科技论坛,2015,12:98-100.
[12]谭亚.防御性医疗行为成因分析及应对策略[J].中国医学伦理学,2011,02:160-161+172.
[13]程红群.非合理医疗行为的伦理探讨[J].中国医学伦理学,2011,02:162-163+166.
[14]任莉,白继庚.从“医闹”与防御性医疗行为探索和谐医患关系[J].中国妇幼卫生杂志,2011,05:226-228.
[15]程红群.军地医院医师防御性医疗行为比较[J].解放军医院管理杂志,2011,11:1041-1043.
[16]李平.过度医疗的成因及其对策探讨[J].法制与社会,2012,03:80-81.