新疆医患双方医事法知识知晓现状研究

发布时间：2018-07-29 20:27

【摘要】：目的：通过问卷调查和随机访谈的方式,描述和讨论乌鲁木齐地区医患双方对医事法知识知晓的现状,分析其存在的问题及原因,结合新疆当地民族区域特点,探索提高医患双方医事法知识水平的重要性,探讨医事法理念对医患关系的影响,不断提高医患双方医事法律文化素养,并提出有针对性的建议和措施。方法：以乌鲁木齐六家医院部分医护人员和就医患者为研究对象,通过文献查阅法,收集国内外医事法相关文献,确定医事法研究内容；通过专家咨询法,初步确定问卷基本信息和医事法知识问题；通过问卷调查法和随机访谈,收集医患双方医事法知识知晓数据；采取数据双输录入的方式,严格控制数据录取的正确性和有效性；采用Cronbach's α系数法,对医事法指标进行筛选并对调查结果进行评价,最后通过EpiDate3.1软件进行录入和统计,采用SPSS19.0进行数据分析；最后分析医疗纠纷典型案例,说明提高医事法知识知晓度的重要性。结果：1、医护人员对医事法知识的知晓比较理想,法律文化素养比较高,也很注重医事法知识的培养。其中,基础知识的知晓比较好,医疗过程中关注权利知识,知晓率86.67%；义务知识知晓比较不好,知晓率80.12%；专业知识知晓也较不理想,最具风险性医疗行为的选择,知晓率61.67%；感受知识的知晓情况比较到位,人身安全受保护程度知晓率87.98%；法律实施效果比较满意,知晓率91.52%；行为知识知晓比较到位,对职业医闹选择方式比较正确,知晓率90.83%。2、就医患者对医事法知识的知晓总体情况比较好,多方位重视医事法知识的教育,对医事法文化有客观认识。其中,基础知识知晓比较理想,知晓权利的情况好于知晓义务,权利内容知晓率80.33%,义务内容知晓不理想,知晓率74.83%；专业知识的知晓比较满意,就医疗赔偿费用的内容而言,知晓率94.83%；知情同意权内容知晓不理想,知晓率84.83%；对感受知识知晓总体感受合理,比较认可损害赔偿范围和标准,知晓率96.55%；行为知识的知晓比较到位,医疗纠纷中行为方式的选择比较合理,知晓率96.46%；法院未支持医疗纠纷中诉讼请求的选择方式比较科学,知晓率88.33%。3、通过典型案例得知：医患双方对知情同意权理解不到位,容易忽视医疗行为和损害结果之间的因果关系,但比较关注法律责任的承担和举证责任。结论：对比医患双方医事法知识的知晓情情况,发现双方对权利和义务重视程度较低,知情同意权理解较片面,举证责任侧重点比较模糊,医疗保障体系较不健全,医疗保险覆盖较少；同时,医疗纠纷解决途径比较单教育宣传力度较低,非诉讼程序启动较困难,对于法律实施效果注意度较低；因此,提高医患双方医事法知识水平,健全医事法制度体系,加快程序立法工作步伐,多方位宣传医事法实施效果；加强医事法人才的培养,健全医疗纠纷解决机制,加强对人民调解制度的支持,不断创新医事法文化建设。
[Abstract]:Objective: to describe and discuss the status of doctors and patients' knowledge about medical law knowledge in Urumqi area by questionnaire and random interview, analyze the existing problems and causes, explore the importance of improving the level of medical law knowledge of both doctors and patients, and discuss the relationship between doctors and patients by the idea of medical law. Influence, constantly improve the medical law and culture of doctors and patients, and put forward pertinent suggestions and measures. Methods: taking part of the medical staff and medical patients in six hospitals in Urumqi as the research object, through the literature review, collect the related literature of medical law at home and abroad, confirm the content of medical law research, through the expert consultation method, preliminary To determine the basic information of the questionnaire and the knowledge of medical law. Through the questionnaire survey and random interview, we collect the knowledge of the knowledge of doctors and patients, and take the method of data double input to strictly control the correctness and effectiveness of the data admission. The Cronbach's alpha coefficient method is used to screen the medical law indexes and to investigate the results of the investigation. In the end, the EpiDate3.1 software was used to record and statistics, and the SPSS19.0 was used to analyze the data. Finally, the typical cases of medical disputes were analyzed, and the importance of improving the knowledge of medical law knowledge was analyzed. Results: 1, the knowledge of medical staff was ideal, the legal literacy was higher, and the medical law was well known. Among them, the knowledge of basic knowledge is better. In the medical process, the knowledge of rights is concerned, the awareness rate is 86.67%, the knowledge of compulsory knowledge is not good, the awareness rate is 80.12%, the knowledge of professional knowledge is not ideal, the choice of the most risky medical behavior, the awareness rate is 61.67%, the awareness of the knowledge is in place, and the personal safety is guaranteed. The awareness rate of nursing degree was 87.98%, the effect of law enforcement was satisfactory, the awareness rate was 91.52%, the knowledge of behavioral knowledge was in place, the choice of occupational medical noise was more correct, the awareness rate was 90.83%.2, the knowledge of medical law knowledge in medical patients was better, the education of medical law knowledge was emphasized in many directions, and the culture of medical law was objectively recognized. Among them, the knowledge of basic knowledge is ideal, the situation of knowing the right is better than the knowing obligation, the awareness rate of the right content is 80.33%, the content of the compulsory content is not ideal, the awareness rate is 74.83%, the knowledge of professional knowledge is satisfactory, the awareness rate of the medical compensation cost is 94.83%, the content of the right of informed consent is not ideal, and the awareness rate is 84.83%. The overall feeling of knowledge awareness is reasonable, the scope and standard of damage compensation are recognized, the awareness rate is 96.55%, the awareness of behavior knowledge is in place, the choice of behavior mode in medical disputes is reasonable and the awareness rate is 96.46%; the choice of the litigation request in the medical dispute is relatively scientific and the awareness rate is 88.33%.3, through typical cases. The case learns: the understanding of the right to informed consent is not in place between the doctors and patients, and it is easy to ignore the causal relationship between the medical behavior and the result of the damage, but it pays more attention to the responsibility of the legal responsibility and the burden of proof. To understand more unilaterally, the emphasis on the burden of proof is vague, the medical security system is not perfect, and the coverage of medical insurance is less; at the same time, the solution of medical disputes is relatively low, the non litigation procedure is difficult to start, and the attention to the effect of the legal implementation is low; therefore, improve the knowledge level of the medical law of the doctors and patients, and therefore improve the knowledge level of the medical law of the two sides of the doctor and the patient and sound the sound level of knowledge, sound and sound. The system of medical legal system, speed up the pace of procedural legislation, promote the implementation of medical law in many directions, strengthen the training of medical personnel, improve the medical dispute settlement mechanism, strengthen the support for the people's mediation system, and constantly innovate the cultural construction of medical law.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：D922.16

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