儿科医生对医患关系现状认知的量化分析-现代医学

儿科医生对医患关系现状认知的量化分析

单位：南京医科大学附属儿童医院医务处, 江苏南京 210000

分类号：R-1

出版年·卷·期（页码）：2024·52·第十二期（1920-1925）

摘要：

目的：通过量化分析，探讨儿科医生对医患关系现状的认知差异，为医疗机构加强儿科医生的医患沟通能力以及减少医患纠纷提供参考。方法：运用问卷法调查某专科医院儿科医生240名，比较不同特征的儿科医生对医患关系相关维度的认知差异，采用线性回归分析医患关系现状认知影响因素。结果：不同性别、年龄、职称、学历和工作年限的儿科医生对医患关系现状认知、患方信任度认知、医闹对医院影响认知、医患关系影响医患沟通认知、医患关系影响医疗决策认知和医患纠纷处理制度作用认知有不同，差异具有统计学意义(P＜0.05)。此外，本调查表明，多数儿科医生认为医生技术水平高和信赖医生是患者选择本院主要的原因；医方职业道德和态度以及医疗服务行为在医院非技术内容重要性中是最为重要。线性回归分析显示，儿科医生对医患关系现状认知与性别(β=-0.197，P=0.030)、职称(β=-0.295，P＜0.001)呈负相关，与学历呈正相关(β=0.209，P=0.014)。结论：医院应加强儿科医生尤其是低年资儿科医生的医患沟通培训，完善医患纠纷处理制度，减少医闹对医院的影响，提升非技术内容。社会媒体也应规范报道，创造医患和谐社会氛围。

Objective:To research on the cognitive differences among pediatricians regarding the current status of doctor-patient relationship through quantitative analysis, and to provide reference for medical institutions to strengthen pediatricians' doctor-patient communication skills and reduce doctor-patient disputes.Methods:A questionnaire survey was conducted among 240 pediatricians in a specialized hospital. To compare the cognitive differences in perception of relevant dimensions of the doctor-patient relationship among pediatricians with different characteristics, the factors influencing the cognition of doctor-patient relationship were analyzed by linear regression. Results:Pediatricians with different gender, age, professional title, educational background and working years have different cognition on the status of doctor-patient relationship, patient trust, the impact of medical conflict on hospital, the impact of doctor-patient relationship on doctor-patient communication, the impact of doctor-patient relationship on medical decision-making and the effect of doctor-patient dispute settlement system, and the differences are statistically significant(P<0.05). In addition, this survey shows that the majority of pediatricians believe that the main reasons why patients choose our hospital are the high technical level and trust of doctors; in non-technical content of hospitals, most pediatricians believe that the professional ethics and attitude of medical staff, as well as medical service behavior, are the most important. Through linear regression analysis, cognitive level of pediatric doctor-patient relationship status are negatively correlated with gender(β=-0.197, P=0.030) and professional title(β=-0.295, P＜0.001), while, there is a positive correlation between educational background(β=0.209, P=0.014). Conclusion:Hospitals should enhance communication training for junior pediatricians, and improve the system for handling medical disputes, reduce the impact of medical disturbance, as well as improve non-technical aspects of care. The media should also regulate their reporting to create a harmonious atmosphere between doctors and patients.

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