發(fā)布時間：2018-07-29 20:27

【摘要】：目的：通過問卷調查和隨機訪談的方式,描述和討論烏魯木齊地區(qū)醫(yī)患雙方對醫(yī)事法知識知曉的現(xiàn)狀,分析其存在的問題及原因,結合新疆當?shù)孛褡鍏^(qū)域特點,探索提高醫(yī)患雙方醫(yī)事法知識水平的重要性,探討醫(yī)事法理念對醫(yī)患關系的影響,不斷提高醫(yī)患雙方醫(yī)事法律文化素養(yǎng),并提出有針對性的建議和措施。方法：以烏魯木齊六家醫(yī)院部分醫(yī)護人員和就醫(yī)患者為研究對象,通過文獻查閱法,收集國內外醫(yī)事法相關文獻,確定醫(yī)事法研究內容；通過專家咨詢法,初步確定問卷基本信息和醫(yī)事法知識問題；通過問卷調查法和隨機訪談,收集醫(yī)患雙方醫(yī)事法知識知曉數(shù)據(jù)；采取數(shù)據(jù)雙輸錄入的方式,嚴格控制數(shù)據(jù)錄取的正確性和有效性；采用Cronbach's α系數(shù)法,對醫(yī)事法指標進行篩選并對調查結果進行評價,最后通過EpiDate3.1軟件進行錄入和統(tǒng)計,采用SPSS19.0進行數(shù)據(jù)分析；最后分析醫(yī)療糾紛典型案例,說明提高醫(yī)事法知識知曉度的重要性。結果：1、醫(yī)護人員對醫(yī)事法知識的知曉比較理想,法律文化素養(yǎng)比較高,也很注重醫(yī)事法知識的培養(yǎng)。其中,基礎知識的知曉比較好,醫(yī)療過程中關注權利知識,知曉率86.67%；義務知識知曉比較不好,知曉率80.12%；專業(yè)知識知曉也較不理想,最具風險性醫(yī)療行為的選擇,知曉率61.67%；感受知識的知曉情況比較到位,人身安全受保護程度知曉率87.98%；法律實施效果比較滿意,知曉率91.52%；行為知識知曉比較到位,對職業(yè)醫(yī)鬧選擇方式比較正確,知曉率90.83%。2、就醫(yī)患者對醫(yī)事法知識的知曉總體情況比較好,多方位重視醫(yī)事法知識的教育,對醫(yī)事法文化有客觀認識。其中,基礎知識知曉比較理想,知曉權利的情況好于知曉義務,權利內容知曉率80.33%,義務內容知曉不理想,知曉率74.83%；專業(yè)知識的知曉比較滿意,就醫(yī)療賠償費用的內容而言,知曉率94.83%；知情同意權內容知曉不理想,知曉率84.83%；對感受知識知曉總體感受合理,比較認可損害賠償范圍和標準,知曉率96.55%；行為知識的知曉比較到位,醫(yī)療糾紛中行為方式的選擇比較合理,知曉率96.46%；法院未支持醫(yī)療糾紛中訴訟請求的選擇方式比較科學,知曉率88.33%。3、通過典型案例得知：醫(yī)患雙方對知情同意權理解不到位,容易忽視醫(yī)療行為和損害結果之間的因果關系,但比較關注法律責任的承擔和舉證責任。結論：對比醫(yī)患雙方醫(yī)事法知識的知曉情情況,發(fā)現(xiàn)雙方對權利和義務重視程度較低,知情同意權理解較片面,舉證責任側重點比較模糊,醫(yī)療保障體系較不健全,醫(yī)療保險覆蓋較少；同時,醫(yī)療糾紛解決途徑比較單教育宣傳力度較低,非訴訟程序啟動較困難,對于法律實施效果注意度較低；因此,提高醫(yī)患雙方醫(yī)事法知識水平,健全醫(yī)事法制度體系,加快程序立法工作步伐,多方位宣傳醫(yī)事法實施效果；加強醫(yī)事法人才的培養(yǎng),健全醫(yī)療糾紛解決機制,加強對人民調解制度的支持,不斷創(chuàng)新醫(yī)事法文化建設。
[Abstract]:Objective: to describe and discuss the status of doctors and patients' knowledge about medical law knowledge in Urumqi area by questionnaire and random interview, analyze the existing problems and causes, explore the importance of improving the level of medical law knowledge of both doctors and patients, and discuss the relationship between doctors and patients by the idea of medical law. Influence, constantly improve the medical law and culture of doctors and patients, and put forward pertinent suggestions and measures. Methods: taking part of the medical staff and medical patients in six hospitals in Urumqi as the research object, through the literature review, collect the related literature of medical law at home and abroad, confirm the content of medical law research, through the expert consultation method, preliminary To determine the basic information of the questionnaire and the knowledge of medical law. Through the questionnaire survey and random interview, we collect the knowledge of the knowledge of doctors and patients, and take the method of data double input to strictly control the correctness and effectiveness of the data admission. The Cronbach's alpha coefficient method is used to screen the medical law indexes and to investigate the results of the investigation. In the end, the EpiDate3.1 software was used to record and statistics, and the SPSS19.0 was used to analyze the data. Finally, the typical cases of medical disputes were analyzed, and the importance of improving the knowledge of medical law knowledge was analyzed. Results: 1, the knowledge of medical staff was ideal, the legal literacy was higher, and the medical law was well known. Among them, the knowledge of basic knowledge is better. In the medical process, the knowledge of rights is concerned, the awareness rate is 86.67%, the knowledge of compulsory knowledge is not good, the awareness rate is 80.12%, the knowledge of professional knowledge is not ideal, the choice of the most risky medical behavior, the awareness rate is 61.67%, the awareness of the knowledge is in place, and the personal safety is guaranteed. The awareness rate of nursing degree was 87.98%, the effect of law enforcement was satisfactory, the awareness rate was 91.52%, the knowledge of behavioral knowledge was in place, the choice of occupational medical noise was more correct, the awareness rate was 90.83%.2, the knowledge of medical law knowledge in medical patients was better, the education of medical law knowledge was emphasized in many directions, and the culture of medical law was objectively recognized. Among them, the knowledge of basic knowledge is ideal, the situation of knowing the right is better than the knowing obligation, the awareness rate of the right content is 80.33%, the content of the compulsory content is not ideal, the awareness rate is 74.83%, the knowledge of professional knowledge is satisfactory, the awareness rate of the medical compensation cost is 94.83%, the content of the right of informed consent is not ideal, and the awareness rate is 84.83%. The overall feeling of knowledge awareness is reasonable, the scope and standard of damage compensation are recognized, the awareness rate is 96.55%, the awareness of behavior knowledge is in place, the choice of behavior mode in medical disputes is reasonable and the awareness rate is 96.46%; the choice of the litigation request in the medical dispute is relatively scientific and the awareness rate is 88.33%.3, through typical cases. The case learns: the understanding of the right to informed consent is not in place between the doctors and patients, and it is easy to ignore the causal relationship between the medical behavior and the result of the damage, but it pays more attention to the responsibility of the legal responsibility and the burden of proof. To understand more unilaterally, the emphasis on the burden of proof is vague, the medical security system is not perfect, and the coverage of medical insurance is less; at the same time, the solution of medical disputes is relatively low, the non litigation procedure is difficult to start, and the attention to the effect of the legal implementation is low; therefore, improve the knowledge level of the medical law of the doctors and patients, and therefore improve the knowledge level of the medical law of the two sides of the doctor and the patient and sound the sound level of knowledge, sound and sound. The system of medical legal system, speed up the pace of procedural legislation, promote the implementation of medical law in many directions, strengthen the training of medical personnel, improve the medical dispute settlement mechanism, strengthen the support for the people's mediation system, and constantly innovate the cultural construction of medical law.
【學位授予單位】：新疆醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：D922.16

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