CAJ | 학술논문

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.
목적 료해의환쌍방대의료검사합이성적인지,위유효개전의료검사공작제공삼고.방법 채취방편추양화개별방담,조사료58명의무인원화329례환자대합리의료검사내함화의의、영향의료검사선택인소이급불합리의료검사원인등문제적인지정황.결과 불동부문화직칭의무인원적인지차이무통계학의의,P>0.05;이문진여주원환자이급불동성별환자지간존재상당대적인지차이,의환쌍방적인지차이명현,P<0.05.결론 환자응해시의료검사합이성적평개자,환자적이익응해시의료검사합이성평개적핵심내용.지유객관평개화정학처리의환쌍방대의료검사적인지차이,재능보장의료검사적합리사용.
Objective To leam 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.