中国医生对患者参与医疗决策的理解的问卷调查(英文)  

Doctors' Perceptions of Difficulties in Patient Involvement in Making Treatment Decisions:Questionnaire Study in China

作　　者：张鸣明[1] 李静[1] 张小利[1] 刘雪梅[2] 王莉[1] 何俐[3] Andrew Herxheimer 

机构地区：[1]四川大学华西医院中国循证医学中心,成都610041 [2]四川大学华西医院中国循证医学杂志编辑部,成都610041 [3]四川大学华西医院神经内科,成都610041 [4]UK Cochrane Centre,Summertown Pavilion Middle Way,Oxford OX2 7LG,UK

出　　处：《中国循证医学杂志》2006年第11期783-785,共3页Chinese Journal of Evidence-based Medicine

摘　　要：目的调查中国医生对患者参与治疗决策的困难与态度。方法采用自拟调查表对来自中国25省市、5所大学医院、20所医院的1088名医生(70％为内科医生,22%为外科医生, 8％为妇科医生)进行调查。结果共有780名医生返回调查表,仅有488名完成调查表。27％的困难为医生缺乏时间,15％为向患者表达不确定性,13％为患者缺乏医学知识难以交流,12％为捉摸患者的偏好,9％为与患者建立起稳定关系。结论患者增加参与治疗决策力面的知识可促使医生端正对患者参与治疗决策的态度。Objective To investigate the attitudes of Chinese doctors towards the difficulties they have concerning the involvement of patients in decision-making about treatment. Method We surveyed 1 088 doctors at different levels （70% internal medicine, 22% general surgery, 8% gynecology） from 20 general hospitals and 5 university hospitals covering 25 provinces and cities in China, using a simple questionnaire, which we had developed. Results A total of 780 doctors returned the questionnaire and of these only 488 （62%） had completed it. The difficulties that doctors were most concerned about focused on lack of time （27%）, expressing uncertainties to patients （15%）, dealing with patients who have little medical knowledge （13%）, eliciting patients＇ preferences （12%）, and establishing a stable relationship （9%）. Conclusion Increasing their knowledge of patient involvement in making treatment decisions may reinforce appropriate attitudes towards this concept among doctors.

关 键 词：患者参与 问卷 中国医生 治疗决策 

分 类 号：R195[医药卫生—卫生统计学]