构建临床医德医风评价体系的初步探索  

The preliminary construction of clinical evaluation system of medical ethics

作　　者：段金宁[1] 曹玺盛[2] 林金银 韩霜雪[3] 李梅[4] 高思佳[4] 魏红[5] Duan Jinning;Cao Xisheng;Lin Jinyin;Han Shuangxue;Li Mei;Gao Sijia;Wei Hong(Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China;Chinese Communist Youth League Committee, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, Chin;Party Committee Office, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China;Education Department, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, Chin;Procurement Centre, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, Chin)

机构地区：[1]首都医科大学附属北京同仁医院,100730 [2]首都医科大学附属北京同仁医院团委,100730 [3]首都医科大学附属北京同仁医院党委办公室,100730 [4]首都医科大学附属北京同仁医院教育处,100730 [5]首都医科大学附属北京同仁医院采购中心,100730

出　　处：《中华医学教育杂志》2018年第2期161-166,共6页Chinese Journal of Medical Education

基　　金：教育部2014年人文社会科学研究项目（14JF010）

摘　　要：目的构建临床医德医风评价体系。方法采用文献综述法初步拟定评价指标，通过专题小组讨论法和专家咨询法对各项指标的相对重要性进行评分，根据指标评分的均值筛选指标；通过计算Kendall和谐系数w，表明专家总体上对指标评价较为一致，专家评价结果可以用于进一步筛选和构建临床医德医风评价体系。采用专家咨询法，确定临床医德医风评价指标权重和评价标准。结果临床医德医风评价体系由5个一级指标、14个二级指标和25个三级指标构成。结论本研究所建立的临床医德医风评价体系结构基本合理、针对性较强，可以在一定范围的医院内试用并收集意见，以利于本研究的继续进行和不断完善。Objective To establish the evaluation index system of clinical medical ethics. Methods Literature review, the method of fitting at the beginning of the evaluation index, method and expert consultation method through group discussion on the relative importance of each index, and based on the mean score of screening indicators. Based on W Kendall harmony coefficient calculation, it shows that respondents in general assessment model is more consistent, the evaluation results can be used for further screening and construct the evaluation index system of medical ethics. Through expert consultation method to determine the clinical evaluation index system of medical ethics, and to determine the weight of each index and evaluation standards. Results The clinical evaluation system of medical ethics by five indicators, 14 of secondary indicators and 25 of tertiary indicators. Conclusions The structure of established evaluation index system of clinical medical ethics is basically reasonable and more pertinence. It can be further trialed and collecting the data in a certain range of hospital for making the research to facilitate the continuation and improvement of this research.

关 键 词：临床医德医风 评价体系 构建 探索 

分 类 号：R197.3[医药卫生—卫生事业管理]