医患双方医疗信息安全的认知差异分析及防控对策建议  

Analysis of Doctor-patients' Cognitive Difference of Medical Information Safety and the Suggestions of Countermeasures

作　　者：程亦鹏 王守林[1] 徐康[2] 孙晓阳[3] 

机构地区：[1]南京医科大学公共卫生学院,江苏南京211166 [2]南京医科大学附属淮安第一医院门诊部,江苏淮安223300 [3]南京医科大学附属淮安第一医院院办公室,江苏淮安223300

出　　处：《江苏卫生事业管理》2017年第6期130-133,共4页Jiangsu Health System Management

摘　　要：目的:分析某大型医院医患双方在医疗隐私信息安全认知方面的差异,为制定切实可行的控制对策提供参考。方法:采取分层抽样方法,利用自行设计的问卷对苏北某大型医院的病房医护人员和住院患者就17个医疗隐私信息相关的项目进行了调查。运用卡方检验、t检验等方法比较两类人群在医疗信息重要性方面的认知差异。结果:两组人群在年龄、性别等方面无明显差异,但医护组的文化程度明显高于患者组;医疗信息安全的认知程度上,医护组的整体得分(41.55±8.43)明显高于患者组(39.01±8.23),主要表现在对身份信息、住院信息、治疗信息等8种医疗隐私信息的重要性认识上(P<0.05);文化程度越高,对医疗隐私越是重视。结论:医护人员对医疗隐私信息安全的认知明显高于患者,就控制对策的总体而言,还需要有针对性地提高患者隐私保护的意识。Objective:To analyze doctor-patients' differences of medical information security, and provide references for formulating feasible countermeasures in a large hospital. Methods:Using the method of stratified sampling,a modified questionnaire survey of 17 variables related to medical private information was conducted among the medical staffs and patients in a large hospital in North Jiangsu province. The cognitive differences of medical information importance between the two groups were compared using Chi square test or T test method. Results:Total of 360 persons were selected,in which 336 valid questionnaires were collected including165 patients and 171 medical staffs.There was no significant difference in age and gender between the two groups,however,the education level of medical staffs was significantly higher than that of patients. The overall score of medical staffs group(41.55 ± 8.43)was significantly higher than that of the patients group(39.01 ± 8.23)in the medical information security awareness,mainly in the importance cognition in 8 kinds of medical privacy information(P<0.05),such as the identity card information,hospital information,treatment information and so on. Further,the higher education level was,and the more attention to medical privacy was. Conclusion:The cognition of medical privacy information security of medical staffs was significantly higher than that of patients. In the terms of the countermeasures,it would be more effective to improve the awareness of patients' privacy protection.

关 键 词：医患关系 医疗 信息安全 认知 对策 

分 类 号：R197.324[医药卫生—卫生事业管理]