精神科医生对患者非自愿住院决定的影响因素研究进展  

Research progress of influence factors of psychiatrists' decision-making process of patients' involuntary admission

作　　者：马华舰 邵阳 谢斌[1] 肖泽萍[1] MA Hua-jian SHAO Yang XIE Bin XIAO Ze-ping(Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China)

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《中国卫生资源》2017年第5期432-436,共5页Chinese Health Resources

基　　金：科技部"十二五"科技支撑计划课题(2012BAK16B04);上海市加强公共卫生体系建设三年行动计划课题(GWⅣ-5);2016年国家卫生计生委委托项目(国卫疾控精卫项目[2016]第53号);2016年国家卫生计生委委托项目(国卫疾控精卫项目[2016]第58号)

摘　　要：非自愿住院在维护精神障碍患者健康权利及公众利益的同时,也限制了患者人身自由权利,为最大可能地保障患者合法权益,各国均通过立法方式规范非自愿住院。我国精神障碍患者的非自愿住院率居高不下,医生作为非自愿住院实施的主要决定者,其具体的评估流程目前尚缺少相关研究,文章通过文献复习,分析了医生对于精神障碍患者非自愿住院决定的态度及评估方面的差异,为今后完善相关法律制度及更好地保护患者权益提供科学依据。Involuntary admission （ IA ） protects the health right for patients with mental disorder as well as the public interests. However, it also limits the liberty of the patients. To best protect rights and interests for the patients, legislation has been made throughout the world to regulate IA. The frequency of IA in China remains at a high level. Although psychiatrists are the key decision-makers for IA, limited researches could be found on their decision-making process. The article analyzed the psychiatrists＇ attitudes towards IA and compared different practices in the process of patient evaluation through literature research. It is essential for us to learn more about the decision-making process of IA to improve the legislation and better protect the patients＇ rights.

关 键 词：医生 精神障碍 非自愿住院 态度 决定 

分 类 号：R192.3[医药卫生—卫生事业管理]