| 病人参与临床决策现状调查与分析 |
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| 引用本文： | 张琼文,万晓莉,刘颖,董欣欣,王海清,王飞,周洋,范志宇,陈熹阳,张鸣明. 病人参与临床决策现状调查与分析[J]. 中国循证医学杂志, 2010, 10(1): 10-13 |
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| 作者姓名： | 张琼文 万晓莉 刘颖 董欣欣 王海清 王飞 周洋 范志宇 陈熹阳 张鸣明 |
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| 作者单位： | 1. 四川大学华西临床医学院,成都,610041
2. 四川大学华西医院中国循证医学中心,成都,610041 |
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| 基金项目： | 自然科学基金"患者参与患者安全的机制和模式研究"资助 |
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| 摘 要： | 目的探讨影响医患共享临床决策的因素，为医患共享临床决策提供思路与对策。方法随意抽取四川省某三甲医院的患者，以匿名问卷，采取调查员指导下被调查者自填调查表的方式对患者进行问卷调查。用Excel建立数据库，采用SPSS13．0进行统计分析。结果共发放调查问卷600份，实际收回有效问卷565份，有效回收率94％。调查结果显示：68％的患者对所患疾病的相关信息有一定了解；93％的患者愿意积极参与临床决策；患者在就医过程中最担心的问题依次为治疗措施的疗效、费用和医生技术；患者就医的最大困难为门诊等待时间长和与医生交流时间短。结论针对患者有参与临床决策的积极愿望但又存在知识局限性的现状，加之医疗服务的多维性和医学科学的不确定性等医疗或非医疗因素，临床医生有必要为患者提供多种选择，帮助患者寻找足够的相关信息，共同分析，提高患者的满意度。
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| 关 键 词： | 患者参与 共享决策 医患关系 |
A Survey Analysis of Patients' Perceptions of Difficulties in Shared Clinical Decision-Making |
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| ZHANG Qiong-wen ,WAN Xiao-li ,LIU Yin ,DONG Xin-xin ,WANG Hai-qing ,WANG Fei ,FAN Zhi-yu ,CHEN Xi-yang ,ZHANG Ming-ming ,.West China School of Medicine,Sichuan University,Chengdu ,China,.Chinese Cochrane Centre,West China Hospital. A Survey Analysis of Patients' Perceptions of Difficulties in Shared Clinical Decision-Making[J]. Chinese Journal of Evidence-based Medicine, 2010, 10(1): 10-13 |
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| Authors: | ZHANG Qiong-wen WAN Xiao-li LIU Yin DONG Xin-xin WANG Hai-qing WANG Fei FAN Zhi-yu CHEN Xi-yang ZHANG Ming-ming .West China School of Medicine Sichuan University Chengdu China .Chinese Cochrane Centre West China Hospital |
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| Affiliation: | ZHANG Qiong-wen 1,WAN Xiao-li 1,LIU Yin 1,DONG Xin-xin 1,WANG Hai-qing 1,WANG Fei 1,FAN Zhi-yu 1,CHEN Xi-yang 1,ZHANG Ming-ming 2,1.West China School of Medicine,Sichuan University,Chengdu 610041,China,2.Chinese Cochrane Centre,West China Hospital |
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| Abstract: | Objective To explore the factors which affect shared decision-making and develop strategies to get patients actively involved in clinical decision-making.Methods We conducted a survey on 565 patients of a Class A Hospital in Sichuan with group random sampling method.The data were collected by the use of anonymous selfadministered questionnaires.We used SPSS 10.0 to analyse the data.Results A total of 600 questionnaires were distributed at random,of which 565 were completed.There were 68% patients who had so... |
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| Keywords: | Patient involvement Shared decision-making Doctor-patient relationship |
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