公立医院医师的医疗类网络直播风险意识调查  

Investigation on the risk awareness of medical live webcast of physicians in public hospitals

作　　者：王蕾[1] 邸洋 王唯 杜孟凯 岳小林 Wang Lei;Di Yang;Wang Wei;Du Mengkai;Yue Xiaolin(Propaganda and Education Center,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Orthopedics,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院宣教中心,北京100053 [2]首都医科大学宣武医院骨科,北京100053 [3]首都医科大学宣武医院党委办公室,北京100053

出　　处：《中华医院管理杂志》2022年第5期391-395,共5页Chinese Journal of Hospital Administration

基　　金：北京市医院管理中心"培育计划"项目(PG2022017)。

摘　　要：目的调查公立医院医师的医疗类网络直播风险意识现状,为促进我国医疗类网络直播良性发展提供参考。方法2022年3月15—31日,课题组采用方便抽样方法,借助《医师报》网络平台,对公立医院医师进行医疗类网络直播风险意识问卷调查,对所有数据进行描述性分析,组间比较采用χ2检验。结果共收回问卷1015份,其中有效问卷828份,有效回收率81.6%。741人(89.5%)了解医疗类网络直播,752人(90.8%)认为医疗类网络直播存在风险;超过50.0%的医师认为对公众产生误导、泄露患者隐私、意识形态风险为直播风险点,健康科普、医患人文活动、义诊活动为直播适宜内容,直播带货、医疗诊断是直播不宜行为;不同职称医师对直播中的意识形态风险、泄露患者隐私、健康科普、医患人文活动内容、直播带货的认知差异有统计学意义(P<0.05)。219人参加过医疗类网络直播,其中进行直播报备者148人(67.6%)。结论公立医院医师普遍对医疗类网络直播有所了解,认为医疗类网络直播存在风险,但不同职称的医师对医疗类网络直播风险点、适宜内容、不宜行为和直播报备方面的认知存在差异。Objective To investigate the current risk awareness of medical online live webcasts among physicians in public hospital,so as to provide reference in promoting the peaceful development of medical online live webcast.Methods From March 15th to 31st,2022,the research team used the convenience sampling method to conduct a questionnaire survey on the risk awareness of medical online live webcast among doctors in public hospitals with the help of the"Physician Daily"Internet platform.All data were analyzed descriptively,and the comparison between groups was conducted by Chi square test.Results 1015 questionnaires were recovered,of which 828 were valid,with an effective recovery rate of 81.6%.741 doctors(89.5%)knew about the medical webcast,and 752 doctors(90.8%)thought that the medical webcast was risky.More than 50.0% of doctors believed that misleading the public,disclosing patients′privacy and ideological risk were the risk points of live webcast;Health science popularization,doctor-patient humanistic activities and free medical activities were suitable for live webcast;Live webcast with goods and medical diagnosis were inappropriate for live webcast.There were significant differences in the cognition of doctors with different professional titles on the ideological risk,disclosure of patient privacy,health science popularization,medical and patient humanistic activities,and live webcasting with goods(P<0.05).219 doctors participated in the medical network live webcast,of which 148(67.6%)reported live webcast.Conclusions Physicians in public hospitals are generally aware of medical webcasting and believe that there are risks in such behavior.But physicians with different professional titles have different cognitions on the risk points,suitable content,inappropriate behavior,and live webcastreporting of medical webcasting.

关 键 词：信息交流媒体 医师 网络直播 风险意识 医院 公立 

分 类 号：R197.32[医药卫生—卫生事业管理]