中高年资医生对临床医患沟通要素的判断与实施研究
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南京医科大学 江苏 南京 211166

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南京医科大学人文医学协同创新中心2017年横向创新项目:医学与人文融合的教案教学式医患沟通方案研究


Study on the judgment and implementation of the factors in clinical doctor-patient communication by middle and senior doctors
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Nanjing medical university

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Collaborative Innovation Center of Humanities and Medicine of Nanjing Medical University, 2017 Horizontal Innovation Project: Study on the teaching doctor-patient communication program with the fusion of medicine and humanities

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    摘要:

    To investigate the judgment and implementation of middle andsenior doctors on the communication knowledge and skills in their daily medical activities, and to provide effective suggestions for optimizing the quality of medical communication and medical service. The self-designed consultation questionaire was used to consult the middle and senior doctors of 7 tertiary hospitals in Nanjing, and descriptive analysis and χ2 test were performed on the relevant data. The results show that the various departments have consistent views on many elements of doctor-patient communication. (P>0.05). The doctors in different departments had different judgments on the expression of humanities in communication (P<0.05); The doctor's perception of the patient's psychological judgment is different from the implementation. 69.11% of the doctors think that the patient's psychological awareness is important; the doctor's judgment and implementation of the preparation of the communication plan are different, and 67.48% of the doctors think that it is important to prepare the communication plan. It is recommended that all doctors need to grasp the key points and difficulties of clinical doctor-patient communication. They also need to pay attention to communication of humanistic expression, pay attention to patient psychology and prepare communication program as well as the hospital improve the mechanism to get patient’s feedback so that the quality of medical services can be improved and the incidence of medical disputes can be reduced.

    Abstract:

    Objective: To investigate the judgment and implementation of middle andsenior doctors on the communication knowledge and skills in their daily medical activities, and to provide effective suggestions for optimizing the quality of medical communication and medical service. Methods: The self-designed consultation questionaire was used to consult the middle and senior doctors of 7 tertiary hospitals in Nanjing, and descriptive analysis and χ2 test were performed on the relevant data. Results: The opinions of many departments on the communication between doctors and patients were consistent (P>0.05). The doctors in different departments had different judgments on the expression of humanities in communication (P<0.05); The doctor's perception of the patient's psychological judgment is different from the implementation. 69.11% of the doctors think that the patient's psychological awareness is important; the doctor's judgment and implementation of the preparation of the communication plan are different, and 67.48% of the doctors think that it is important to prepare the communication plan. Conclusion: All of the doctors need to grasp the key points and difficulties of clinical doctor-patient communication. They also need to pay attention to communication of humanistic expression, pay attention to patient psychology and prepare communication program as well as the hospital improve the mechanism to get patient’s feedback so that the quality of medical services can be improved and the incidence of medical disputes can be reduced.

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  • 收稿日期:2018-11-05
  • 最后修改日期:2019-05-06
  • 录用日期:2019-07-01
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