山西省医师执业环境认知调查  

Cognitive study on the practicing environment of physicians in Shanxi province

作　　者：李建涛[1] 李俊峰 张寒冰[3] 宗业军 张琦 李经纬[4] 

机构地区：[1]山西医科大学,太原030001 [2]山西省医师协会 [3]山西职工医学院 [4]山西省人民医院

出　　处：《中华医院管理杂志》2016年第9期685-688,共4页Chinese Journal of Hospital Administration

基　　金：山西省卫生计生委科研基金（2015111）

摘　　要：目的分析山西省一线执业医师对执业环境的看法和认识，为相关部门出台改善医师执业环境的政策提供参考。方法按照等概率多阶段抽样的方式，就医师执业环境的主观评价、选择预防和化解医疗风险的措施等内容进行问卷调查，运用SPSS17．0统计软件对所回收的3570份有效问卷中的数据资料做描述性分析，并就部分分类变量资料进行卡方检验。结果山西省医师对执业环境总体评价不高，认为执业环境“良好”和“一般”的医师只占到4．8％和21．7％。三级医院中认为执业环境非常差的人数达到了47．0％，而一级医院只占到了6．1％。92．4％的被调查医师认为预防化解医疗风险首先应该依靠遵守法律法规和遵守技术操作规范，但多数医师担心新闻媒体不能客观公正地报道事件真相。结论应通过主动加强与新闻媒体的沟通合作，客观宣传医疗发展存在的局限性，积极探索执业医师医疗风险的处理机制，提高执业医师医疗风险的管控能力等措施，营造良好的医师执业环境。Objective To analyze the views and perceptions of practicing physicians on the practicing environment in the province, in order to provide policy reference for improvement. Methods By means of equi-probability and multi-stage sampling, 3 570 valid questionnaires were collected and analyzed from site survey which consist of the subjective evaluation, and measures to identify and prevent medical professional risk. Results Overall assessment of the practice environment of physicians in Shanxi province is low,as those holding the environment as ＂nice＂ and ＂acceptable＂ accounting for 4.8% and 21.7%, only 47.0% of physicians in tertiary hospitals hold the environment as very bad, while only 6.1% of those in level-1 hospitals share this view. 92.4% of the physicians surveyed hold compliance of laws and regulations and technical specifications as key to prevention of medical dispute,yet most of them do not expect the media to be objective, fair and accurate in their coverage of events. Conclusions It is recommended to strengthen communication with the media for objective coverage of the limits of medicine, and explore the mechanism to take care of medical disputes by physicians, and improve their medical risk control capabilities, for a better practicing environment.

关 键 词：山西省 医师 执业环境 认知调查 

分 类 号：R197.1[医药卫生—卫生事业管理]