医务人员视角下知情同意临床实践之实证研究——以广州地区为例  

Empirical Study on Clinical Practice of Informed Consent from the View of Medical Staffs:Take Guangzhou as An Example

作　　者：陈化[1] 张文承[2] 

机构地区：[1]广州医科大学卫生管理学院,广东广州510182 [2]中国医科大学党政办公室,辽宁沈阳110022

出　　处：《医学与哲学（A）》2015年第7期43-45,共3页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：广州市哲学社会科学项目"异乡人视域下知情同意临床实践之问题与对策研究";项目编号:2013019

摘　　要：为了解医务人员对患者知情同意权的认知与实践,采用自制问卷对广州市10所医疗机构的医务人员进行调查。发现79.8%的医务人员认同患者具有知情同意权,而认为患者知情同意能力较强的只有41.0%。45.8%的医务人员认为告知对象应该是家属与患者,会告知替代医疗方案的医务人员占65.4%。面对患者的不同意,大部分医务人员会与患者或家属进行沟通并解释说明。此外,83.8%的医务人员认为医患信任不足是实践障碍的首要原因。可见,强化替代医疗方案告知,理性对待家属干预,保护医务人员的合法权益成为推进知情同意实践的主要措施。In order to examine medical staffs＇ recognition and practical implement of patients right of informed consent, a self-design questionnaire survey was conducted in medical staffs who came from ten hospitals in Guangdong. The results showed that firstly the patients＇ right of informed consent was accepted by investigated medical staffs of 79.8%, while medical staffs of 41.0% had strong confidence in patients＇ competence of consent. Secondly, there were medical staffs of 45.8% informed both the patients and their family members for consents, but only medical staffs of 65. 4% provided information of alternative medical interventions. While encountering patients＇ dissent, the most of medical staffs would communicate with patients and their family members with further illustration and explanation, andmedical staffs of 83.8 % stated the lack of physician-patient trust was the primary barrier in practice. Therefore, it is essential for medical staffs to provide the alternatives to patients, rationally pay attention to patient family＇s intervention during consent process and protect medical staffs＇ legitimate rights.

关 键 词：医务人员 知情同意 临床实践 

分 类 号：R-052[医药卫生]