当前医患关系对医学生和青年医师从业的影响及分析  

Analysis on influence of current doctor-patient relationship on career choices of medical students and young doctors

作　　者：朱雯晴[1] 曾盈[1] 苏娜[1] 徐纪平[1] 李鑫 王嫱[2] ZHU Wenqing;ZENG Ying;SU Na;XU Jiping;LI Xin;WANG Qiang(Student Affairs Office of School of Medicine,Tongji University,Shanghai 200092,China;Depterment of Academic Research,Tongji Hospital Affiliated to Tongji University,Shanghai 200065,China)

机构地区：[1]同济大学医学院学工部,上海200092 [2]同济大学附属同济医院科研处,上海200065

出　　处：《外科研究与新技术》2018年第4期271-275,共5页Surgical Research and New Technique

摘　　要：目的探讨当前医患关系对医学生及青年医师从事医师职业的影响,分析其从医意愿减小的原因并提出建议。方法采用问卷调查法,对医学生、青年医师和患者开展问卷调查,共发放1 500份问卷。问卷主要包括:对医患关系的认知,医学生职业关注点,执业发展看法,心理健康状况等。结果 29. 24%的医学生和50. 30%的青年医师认为医患关系"非常紧张"。66. 26%的医学生和70. 99%的青年医师认为医师是高风险行业。医疗暴力事件带给医师更大的是心理上的伤害。结论紧张的医患关系严重影响了医学生和青年医师的心理健康,影响了医学生的择业。负面的医患关系是导致医学生及青年医师从医意愿减小的主要原因。减少这种影响需要重视对医学生及青年医师人文素质、法律意识及医患沟通技巧的培养。Objective To explore the influence of current doctor-patient relationship on the profession choices of medical students and young doctors,analyze the reasons why they are unwilling to become doctors,and give suggestions to solve the problem. Methods Medical students,young doctors,and patients were asked to complete a questionnaire survey( n =1 500).Data on recognition of doctor-patient relationship,medical students’ career concerns,career development,and mental health,were collected. Results About 29.24% of medical students and 50.30% of young doctors believed that the doctor-patient relationship was “very intense”;66.26% of medical students and 70.99% of young doctors considered doctor a high-risk job.Medical violence brought more psychological injury to doctors. Conclusion The intense doctor-patient relationship has seriously affected the mental health of medical students and young doctors,and their career choices.The main reason for not wanting to be a doctor is the negative doctor-patient relationship.To reduce this adverse impact,we need to pay attention to the cultivation of humanistic quality,legal consciousness,and communication skills for medical students and young doctors.

关 键 词：医患关系 医患沟通 人文素质 法律意识 

分 类 号：R197.3[医药卫生—卫生事业管理]