摘要
临床决策是医疗实践过程中的中心环节,直接关系到病人的治疗效果。在决策形成和实施过程中受到各方面因素的制约,主要包括两个方面医生自身方面因素,如医生素质、技术水平、决策思维能力等;医生自身以外的因素,如卫生政策、药品及其它医疗器材的流通环节、医保制度、医院经营方针,其它因素如社会、伦理、法律、经济等无不影响着医疗决策的正确实施。因此,要排除干扰,努力实施科学的临床决策,不仅要加强医生本身的素质和技术层面的培养和提高,更需要全社会、患者和广大公众给予理解和支持。
Clinical decision making is a key issue in the medical treatment, which directly works on the treatment effect. The major factors that might restrict the decision making and execution mainly includes： intrinsic factors of the doctors, such as per.renal quali- fication, technical skill, decision making abilities etc.; and outside factors, such as hygienic policies, circulation channd of drugs and medical apparatus, medical security system, policies of the hospital manage, and other social, ethical, legal, economic factors and m on, which all will influence the correct execution of medical decision. Therefore, in order to execute the scientific clinical decisiotrs, not only the improvement of the personal and technical level of the doctors is needed, but also the understanding and Support of the whole .society and people.
出处
《医学与哲学（B）》
2006年第3期1-4,共4页
Medicine & Philosophy(B)
关键词
临床决策
负面因素
分析
clinical decision making, restricted factors, analysis
