多媒体技术应用于诊疗前医患沟通的实践  

Practice of applying multimedia technology in doctor-patient communication before diagnosis and treatment

作　　者：谷佳伟 何强[1] 张骏[1] 郑彬[1] 聂良明[1] 张红芳[1] 吴志强[1] 沈健[1] 祁金文[1] 方玲翠[1] 郑亮[1] 沈敏慧[1] 田丰[1] 商洁 高扬 洪朝阳[1] Gu Jiawei;He Qiang;Zhang Jun;Zheng Bin;Nie Liangming;Zhang Hongfang;Wu Zhiqiang;Shen Jian;Qi Jinwen;Fang Lingcui;Zheng Liang;Shen Minhui;Tian Feng;Shang Jie;Gao Yang;Hong Chaoyang(Zhejiang Provincial People’s Hospital,People’s Hospital of Hangzhou Medical College,Hangzhou 310014,China)

机构地区：[1]浙江省人民医院杭州,医学院附属人民医院,杭州310014

出　　处：《中华医院管理杂志》2021年第2期127-129,共3页Chinese Journal of Hospital Administration

基　　金：浙江省医院可持续发展扬子江研究项目(2020ZHA-YZJ205);浙江省人民医院优秀科研基金(ZRY2018C0017);浙江省人民医院优秀科研启动基金(ZRK2020C011)。

摘　　要：传统医患沟通模式易造成患者知情告知不充分,引起医患纠纷。浙江省人民医院基于以患者为中心的视角探索实践医患沟通新模式。根据疾病诊断相关分组病种目录以及各科室高频手术梳理目录,采用多媒体技术将诊疗过程中需要与患者沟通的内容制作成通俗易懂、标准化、同质化的配音幻灯片演示文稿与视频,并将其嵌入电子病历系统中。患者观看完毕后可直接在电脑上签署知情同意书。此举措不仅加深了患者的理解,提高医患沟通的同质化水平,也提高了医生的工作效率,对于构建和谐医患关系有一定借鉴意义。The existing doctor-patient communication pattern often falls prey to insufficient informed consent and even medical disputes.In the patient centered perspective,Zhejiang Provincial People′s Hospital explored a new communication mode centering on patients.Based on diagnosis-related groups catalogues and high-frequency surgeries catalogues of the departments,multimedia technology was called into play to produce dubbed PPTs and videos that were easy to understand,standardized and homogeneous,which were embedded into medical records system.Following observation of the PPT or video,patients could directly sign an informed consent on the computer.This practice not only deepens patient′s understanding and achieves homogeneous level of the communication,but also elevates doctor′s work efficiency,contributing to building a harmonious doctor-patient relationship.

关 键 词：卫生服务管理 多媒体技术 医患沟通 术前谈话 

分 类 号：R197.3[医药卫生—卫生事业管理]