文章摘要
李心怡,陈家应,朱 亚.江苏省镇江市患者就医参与行为及影响因素分析[J].南京医科大学学报(社会科学版),2018,(6):426~429
江苏省镇江市患者就医参与行为及影响因素分析
The status of patients involved in medical service and its influencing factors in Zhenjiang, Jiangsu
投稿时间:2018-09-03  
DOI:10.7655/NYDXBSS20180603
中文关键词: 患者参与  治疗决策  医患关系  诊疗服务
英文关键词: patient engagement  treatment decision⁃making  doctor⁃patient relationship  medical service
基金项目:国家自然科学基金“基于患者体验的公立医院改革绩效评估研究”(71473129);南京市哲学社会科学规划项目“南京市浦口区家庭医生签约和分级诊疗体系构建策略研究”(17C06);江苏省哲学社会科学优秀创新团队
作者单位
李心怡 南京医科大学医政学院,江苏 南京 211166 
陈家应 南京医科大学医政学院,江苏 南京 211166 
朱 亚 南京医科大学健康江苏研究院, 江苏 南京 211166 
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中文摘要:
      以江苏省镇江市为例,采用自行设计问卷对912名患者进行调查,采用描述性分析和Logistic回归分析对就医参与现状及其影响因素进行分析?患者参与诊疗服务的总体体验较好?“患者告知病情”的程度最高[(4.14 ± 0.68)分],“患者参与治疗方案制定”的程度最低[(3.68 ± 0.69)分]?单因素分析和无序多分类Logistic回归分析等结果可知患者就医参与程度在患者类型?患者年龄?疾病类型等方面存在差异?对于不同参与能力和参与意愿的患者,医务人员应识别其价值观及偏好,赋予不同的参与形式,同时转变观点,建立医患沟通新模式?
英文摘要:
      A survey with self?made questionnaire was undertaken to 912 randomly selected patients in Zhenjiang, Jiangsu Province. Descriptive analysis and Logistic regression analysis were used to analyze the status quo of medical participation and its influencing factors. The degree of patients’ overall experience and participation was relatively high. The highest score and lowest score were 4.14 ± 0.68, 3.68 ± 0.69, respectively, in dimensions of notification and participation of treatment decision?making. The results of single factor analysis and unordered multi?class Logistic regression analysis showed that there were differences in patient type, age of patients, type of disease, and etc. Medical institutions should identify patients’ preferences and personality, and then encourage their participation. Medical staff and the general public should transform traditional conceptions, and establish a new mode of doctor?patient communication.
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