我国防御性医疗研究现状及进展范围综述  

A Review of the Current Status and Progress Scope of Defensive Medical Research in China

作　　者：张环宇 尹新乐 周玥 刘雅萍 吴琳 冯亚杰 梁立波[1] Zhang Huanyu;Yin Xinle;Zhou Yue;Liang Libo(School of Health Management,Harbin Medical University,Harbin,Heilongjiang,150081,China;不详)

机构地区：[1]哈尔滨医科大学卫生管理学院,黑龙江哈尔滨150081

出　　处：《中国医院管理》2024年第7期1-5,共5页Chinese Hospital Management

基　　金：国家自然科学基金项目(71974049,71673073,72274047)。

摘　　要：目的对我国防御性医疗研究现状进行梳理,为后续相关研究提供借鉴。方法检索时限为数据库建库至2024年3月,检索中国知网、万方、Web of Science、Pubmed数据库,根据纳入和排除标准进行文献筛选,按研究的基本特征、测量工具、影响因素等要素对我国防御性医疗研究现状进行归纳整理。结果共纳入24篇中文文献、4篇英文文献。结果显示:我国医务人员中的防御性医疗发生率较高;在不同研究中,防御性医疗的测量工具存有差异;主要影响因素包括性别、年龄、职称等医生个人特征,法律、医疗保险等制度因素,医患关系、负面舆论等社会文化因素。结论我国防御性医疗行为较为普遍,且受多重因素影响,需多维解构防御性医疗现状的形成机制,为消极防御性医疗治理提供依据。Objective Summarizes the current research status of defensive medicine in China and provides references for future research.Methods The search period spans from the inception of the database to March 2024.CNKI,Wanfang Data,Web of Science,PubMed databases were queried,followed by literature screening based on predetermined inclusion and exclusion criteria.The current landscape of defensive medicine research in China was synthesized and categorized based on fundamental research characteristics,measurement methodologies,influencing factors,and other relevant aspects.Results A total of 24 Chinese literature sources and 4 foreign literature sources were incorporated,indicating a prevalent occurrence of defensive medicine in China.Measurement tools for defensive medicine exhibit variability across different studies.Key influencing factors encompass doctor's demographic variables such as gender,age,and professional status,institutional factors like legal frameworks and medical insurance,and sociol-cultural factors such as doctor-patient relationships and adverse public perceptions.Conclusion Defensive medicine is relatively widespread and influenced by various factors in China.It's urgent to explore the formation mechanism of defensive medicine from multiple perspectives and provide evidence for passive defensive medicine governance.

关 键 词：防御性医疗 研究现状 范围综述 

分 类 号：R197.3[医药卫生—卫生事业管理]