文章摘要
马文文,顾加栋.基于认知调查的医疗知情同意制度民意基础研究[J].南京医科大学学报(社会科学版),2019,(3):197~201
基于认知调查的医疗知情同意制度民意基础研究
Research on informed consent system based on the cognitive survey of the public
投稿时间:2019-02-28  
DOI:10.7655/NYDXBSS20190306
中文关键词: 知情同意制度  民意基础  认知
英文关键词: informed consent system  public opinion  cognition
基金项目:四川省医事卫生法治研究中心重点项目“医疗告知与知情同意法律正当性研究”(YF18-Z08)
作者单位
马文文 南京医科大学医政学院江苏 南京 211166 
顾加栋 南京医科大学马克思主义学院江苏 南京 211166 
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中文摘要:
      为了解大众对医疗知情同意制度认知现况,分析制度落实过程中的重点与难点,并探究完善措施。以15则典型案例、现象或观点为评判对象,受访者做出是否认同的回答,并进行数据分析。72.0%的受访者自我决定意识比较强;大众期望获得全面的医疗告知;近亲属代为决定的做法仍有较大的民意基础;49.0%的受访者对知情同意权的内容和告知标准有过高期望。应当转变观念,客观认识患者参与医疗决策的必要性和可行性;有效沟通,确保患者全面了解病情和诊疗方案;妥善引导,促进患者依法行使知情同意权。
英文摘要:
      This study aimed to understand the current situation of public’s cognition on informed consent system, analyze the key points and difficulties in the implementation of the system, and explore the improvement measures. 15 typical cases, phenomena or opinions were used as the subjects to evaluate whether the respondents agreed or not, and the data were analyzed. 72.0% of the respondents had a strong sense of self?determination; the public expected to receive comprehensive medical information. The practice of making decisions on behalf of close relatives still has a large public opinion basis. 49.0% of respondents have high expectations on the content and disclosure standards of informed consent. We should change ideas and objectively understand the patients’ participation in medical decision?making, communicate effectively and ensure that patients fully understand the conditions and treatment plans, and then guide properly and promote patients to exercise their rights of informed consent according to law.
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