智慧医院背景下的肿瘤专科医院患者伦理困境分析  

Analysis of the ethical dilemmas of patients in a cancer specialty hospital in the context of the smart hospital

作　　者：吴子健 廖岚岚 WU Zijian;LIAO Lanlan(Clinical Research Management Centre,Affiliated Cancer Hospital and Institute of Guangzhou Medical University,Guangzhou 510095,China;College of Finance and Trade,Guangdong Industry Polytechnic University,Guangzhou 510300,China)

机构地区：[1]广州医科大学附属肿瘤医院临床研究管理中心,广东广州510095 [2]广东轻工职业技术大学财贸学院,广东广州510300

出　　处：《中国医学伦理学》2025年第2期261-266,共6页Chinese Medical Ethics

基　　金：广东省教育厅2022年广东普通高校特色创新类项目(人文社科类)“智慧医疗建设背景下医疗数字信息化实现路径及评价模型的探索性研究”(2022WTSCX088);广州市哲学社会科学发展“十四五”规划2022年共建课题“医联体数字信息化新模式的协同机制及信息服务评价体系的探索性研究”(2022GZGJ68);广州医科大学2023年科研能力提升计划项目(科研起步类)“基于复杂适应性系统和启示理论对医院数字化转型发展轨迹的研究”(255)。

摘　　要：目的 探索智慧医院背景下肿瘤专科患者伦理困境,并提出相关对策。方法 采用目的抽样法,于2023年12月—2024年1月选取某市一所三级肿瘤专科医院医护人员为研究对象,以智慧医院背景下肿瘤专科患者伦理困境为主题开展质性访谈,采用Nvivo12.0软件进行资料转录及分析。结果 共提炼出3个主题:智慧医院背景下肿瘤专科患者所面临的伦理困境包括隐私保护与信息披露间的伦理困境、生命权与选择权间的伦理困境、公平性与优先级间的伦理困境、科研与临床间的伦理困境;智慧医院依托先进信息技术改善医教研水平,但却因此产生了上述多种伦理困境,医护人员应正确看待并科学应对该伦理困境;智慧医院背景下肿瘤专科医院伦理困境的应对策略包括完善相关政策法规、优化医疗资源分配、强化医护伦理教育、加强医患沟通、强化反馈及监管机制。结论 医疗机构应在推动医疗信息技术的创新和应用的同时,强化伦理监管,确保智慧医院发展的合规性和可持续性。Objective:To explore the ethical dilemmas of patients in a cancer specialty hospital in the context of the smart hospital and to propose relevant countermeasures.Methods:Using the purposive sampling method,medical staff from a tertiary cancer specialty hospital in a certain city were selected as research subjects from December 2023 to January 2024.Qualitative interviews were conducted on the ethical dilemmas of the specialized cancer patients in the context of the smart hospital,and Nvivo 12.0 software was used for data transcription and analysis.Results:Three themes were extracted.First,the ethical dilemmas faced by specialized cancer patients in the context of smart hospitals,including the ethical dilemma between privacy protection and information disclosure,the right to life and choice,fairness and priority,and scientific research and clinical practice.Second,smart hospitals relied on advanced information technology to improve the level of medical teaching and research,but this had led to various ethical dilemmas mentioned above.Medical staff should correctly view and scientifically respond to these ethical dilemmas.Third,the response strategies for ethical dilemmas in cancer specialty hospitals in the context of smart hospitals include improving relevant policies and regulations,optimizing medical resource allocation,strengthening ethics education of medical staff,enhancing doctor-patient communication,and strengthening feedback and regulatory mechanisms.Conclusion:Medical institutions should strengthen ethical supervision while promoting innovation and application of medical information technology,to ensure compliance and sustainability in the development of smart hospitals.

关 键 词：智慧医院 肿瘤 专科医院 伦理困境 

分 类 号：R-052[医药卫生]