文献类型：期刊文献

中文题名：医患双方对医疗检查合理性认知的情况分析

英文题名：Analysis of the rationality of medical examinations as perceived by doctors and patients

作者：潘传德[1];卢祖洵[2]

机构：[1]绍兴文理学院,绍兴312000;[2]华中科技大学同济医学院公共卫生学院

年份：2010

期号：6

起止页码：440

中文期刊名：中华医院管理杂志

外文期刊名：Chinese Journal of Hospital Administration

收录：CSTPCD、、北大核心2008、北大核心

语种：中文

中文关键词：医务人员;患者;医疗检查;合理性

外文关键词：Medical staff; Patients; Medical examinations; Rationality

中文摘要：目的了解医患双方对医疗检查合理性的认知，为有效开展医疗检查工作提供参考。方法采取方便抽样和个别访谈，调查了58名医务人员和329例患者对合理医疗检查内涵和意义、影响医疗检查选择因素以及不合理医疗检查原因等问题的认知情况。结果不同部门和职称医务人员的认知差异无统计学意义，P〉0．05；而门诊与住院患者以及不同性别患者之间存在相当大的认知差异，医患双方的认知差异明显，P〈0．05。结论患者应该是医疗检查合理性的评价者，患者的利益应该是医疗检查合理性评价的核心内容。只有客观评价和正确处理医患双方对医疗检查的认知差异，才能保障医疗检查的合理使用。

外文摘要：Objective To learn how the doctors and patients perceive whether the medical examinations made are rational and to use this finding as a reference for medical examinations provision. Methods By way of convenience sampling and individual interviews, 58 medical staff and 329 patients were surveyed to find their perception of the contents and meaning of rational medical examinations, the factors affecting choices of medical examinations, and the causes of unreasonable medical examinations. Results Differences of perception by medical staff from different departments and academic titles are not statically significant as P〉0. 05; a huge gap exists between the perception of outpatients and inpatients, as well as between patients of different genders. The most obvious gap is found between doctors and patients, as P 〈 0. 05; Conclusions Patients ought to be the one to decide whether the medical ;. examinations provided to them are rational, and their rights and interests ought to be the key criterion for the rationality evaluation of medical examinations. Objective evaluation and correct coping style to the different perceptions of medical examinations by doctors and patients will guarantee reasonable choices of medical examinations.