摘要
目的了解公众对网络传播医疗事件发生原因的认知现状,为营造良好的网络环境及构建和谐医患关系提供建议。方法于2018年4—5月通过问卷星系统对1928名公众进行问卷调查,运用描述性分析、独立样本t检验和单因素方差分析LSD两两比较对数据进行分析。结果网络负面医疗事件的发生排名前五位的原因分别为医生层面下的医院诊疗流程设置不合理(3.49±0.94)、个别医务人员医疗技术有限(3.46±0.94)、医生开具不必要的检查和药物(3.44±1.02),以及患者层面下对治疗结果的期望过高(3.40±0.91)和患者将看病难的不满转移到了医务人员身上(3.39±0.93)。其中不同年龄、健康状况和是否具有医学背景的公众对网络传播医疗事件发生原因存在认知差异(P<0.05)。结论网络医疗负性事件的发生具有多层次的诱因,需在规范媒体报道客观性和促进医疗卫生制度改革等方面做出努力。
Objective To understand the public's cognition of the causes of medical events through network communication,and to provide suggestions for creating a good network environment and building a harmonious doctor-patient relationship.Methods From April to May 2018,a total of 1928 members of the public were surveyed through the Star System,and the data were analyzed by descriptive analysis,independent sample t-test and one-way analysis of variance(LSD)pair comparison.Results The top five reasons for the occurrence of negative network medical events were the unreasonable setting of hospital treatment procedures at the doctor level(3.49±0.94),some medical personnel having limited medical technology(3.46±0.94),doctors prescribing unnecessary examinations and drugs(3.44±1.02),patients'high expectation of treatment results(3.40±0.91)and patients'dissatisfaction with the difficulty of seeing doctors transferred to medical staff(3.39±0.93).Among them,the public with different ages,health status and whether they have medical background had different cognition on the causes of medical events transmitted via Internet(P<0.05).Conclusion There are multiple inducements for the occurrence of negative events in network medical care.Efforts should be made to regulate the objectivity of media reports and promote the reform of medical health system.
作者
刘伟
薛乔丹
陶思怡
宋韦剑
薛羽芯
孙明雷
赵娟
梁立波
LIU Wei;XUE Qiaodan;LIANG Libo(Department of Health Management,Harbin Medical University,Harbin,150081,China)
出处
《中国社会医学杂志》
2021年第5期498-501,共4页
Chinese Journal of Social Medicine
基金
国家自然科学基金项目(71673073,71333003)
黑龙江省博士后科研启动金项目(LBH-Q18071)。
