医患双方对权利位阶的认知态度及其相关因素研究  

Study on the Cognitive Attitude of Doctors and Patients towards the Rank of Rights and Interests and Its Related Factors

作　　者：杨振超 谢汉春 刘俊荣[3] YANG Zhenchao;XIE Hanchun;LIU Junrong(School of Health Management,Guangzhou Medical University,Guangzhou 511400,China;Human Resources Department,the Seventh Affiliated Hospital of Southern Medical University,Foshan 528200,China;School of Marxism,Guangzhou Medical University,Guangzhou 511400,China)

机构地区：[1]广州医科大学卫生管理学院,广东广州511400 [2]南方医科大学第七附属医院人力资源部,广东佛山528200 [3]广州医科大学马克思主义学院,广东广州511400

出　　处：《中国医学伦理学》2022年第3期315-321,共7页Chinese Medical Ethics

基　　金：2016年国家社会基金项目“医疗决策中基于权益位阶的利益冲突化解机制之研究”(16BZX108)。

摘　　要：为了进一步了解不同群体对医疗决策中权利位阶的认知态度及其影响因素,为医疗决策实践提供理论参考,通过问卷星企业版进行便利抽样,将收集到的数据用SPSS 21.0等软件进行描述性统计分析,单因素方差分析。结果发现:文化信仰对样本人群关于同一个体权利位阶的认知上具有差异(P<0.05);医疗机构群体中职称、工作年限、机构级别对其在权利位阶态度的认知上存在差异(P<0.05)。在样本人群对医疗活动中通常涉及的个人权利重要性的排序上,生命权、健康权和平等权三项权利的重要性最高;大多数人能够较为理性地看待医者、患者和利益相关者的权益问题。在医疗决策时,应当坚持权利位阶原则,优先维护生命权,兼顾公平公正;面对利益冲突,应做好价值评估,维护患者合理利益,兼顾家属诉求。In order to further understand the cognitive attitude of different groups towards the rank of rights and interests in medical decision-making and its influencing factors,and provide theoretical reference for the practice of medical decision-making,this study conducted convenience sampling through the questionnaire star enterprise edition.The collected data were descriptive statistical analysis with SPSS 21.0 software and joint hypothesis testing.The results showed that there were differences in the cognition of religious beliefs on the same individual's rights and interests rank among the sample population(P<0.05).There were differences in the cognition of professional title,working years and institution level on the attitude of rights and interests rank in the group of medical institutions(P<0.05).In the ranking of the importance of individual rights usually involved in medical activities,the rights to life,health and equality were the most important.Most people can rationally view the rights and interests of doctors,patients and stakeholders.In medical decision-making,we should adhere to the principle of right rank,give priority to safeguarding the right to life and give consideration to fairness and justice.In the face of conflicts of interest,we should do a good job in value evaluation,safeguard the reasonable interests of patients and give consideration to the demands of family members.

关 键 词：医患双方 医疗决策 权利位阶 认知态度 

分 类 号：R197.32[医药卫生—卫生事业管理]