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[日本医学数据库中医疗事故文献与日报文章的比较]

[Comparison of the literature on medical accidents from a medical database and articles in daily newspapers in Japan].

作者信息

Fujiwara Nakako, Ogasawara Hiromi, Suzumura Hatsuko, Miyaji Makoto

机构信息

School of Nursing, Nagoya City University.

出版信息

Nihon Koshu Eisei Zasshi. 2003 Sep;50(9):855-66.

PMID:14577272
Abstract

PURPOSE

We analyzed the frequency and content of journal reports on medical accidents over the past 15 years, and compared these findings with related articles in daily newspapers as a means of assessing medical professionals' awareness of current public opinion reflected in daily newspaper coverage.

METHODS

A search of medical accident reports was conducted using CD-ROM versions of the medical literature database Japana Centra Revuo Medicina (1987-2001), with the key words "medical accident" and "medical error." The numbers of medical accident articles in newspapers and medical lawsuits were taken as indicators of public opinion. Relationships were investigated using correlation and time series analyses.

RESULTS

  1. The total number of reports on medical accidents (including medical errors; hereinafter, medical accident reports) in the database was 2,858, equaling 0.78 medical accident reports for each 1,000 reports in the CD-ROM database. 2) The number of medical accident reports was 174 in 1987, gradually increasing to 333 in 2000 and 618 in 2001. 3) The proportion of the reports from the nursing field increased from 8.9% (1989) to 31.7% (1999). In contrast, the proportion concerning the medical field decreased from 68.8% to 50.2%. 4) The number of medical accident articles in two newspapers was investigated. The yearly trends were similar in both of these newspapers, showing an increase in 1999 and a peak in 2000. 5) A review of Supreme Court records revealed that the number of medical lawsuits each year increased gradually from 352 in 1990 to 805 in 2001. 6) There were significant correlations between the number of medical accident reports and the numbers of newspaper articles or medical lawsuits. A time series analysis of these trends showed that the trend in number of medical accident reports was closely linked with those for numbers of newspaper articles and medical lawsuits, with a time lag.

CONCLUSION

Research trends in papers on medical accidents from a database of scientific papers were found to correspond with trend curves for medical lawsuits and articles on medical accidents in daily newspapers. It was thus demonstrated that awareness of medical accidents among medical professionals reflects social emphasis.

摘要

目的

我们分析了过去15年医学事故期刊报道的频率和内容,并将这些结果与日报中的相关文章进行比较,以此评估医学专业人员对日报报道中反映的当前公众舆论的认知。

方法

使用医学文献数据库《日本医学中央杂志》(1987 - 2001年)的光盘版本,以“医学事故”和“医疗差错”为关键词搜索医学事故报告。将报纸上的医学事故文章数量和医疗诉讼数量作为公众舆论的指标。采用相关性分析和时间序列分析来研究它们之间的关系。

结果

1)数据库中关于医学事故(包括医疗差错;以下简称医学事故报告)的报道总数为2858篇,即每1000篇光盘数据库报告中有0.78篇医学事故报告。2)1987年医学事故报告数量为174篇,逐渐增加到2000年的333篇和2001年的618篇。3)护理领域报告的比例从1989年的8.9%增加到1999年的31.7%。相比之下,医学领域的比例从68.8%下降到50.2%。4)调查了两份报纸上的医学事故文章数量。这两份报纸的年度趋势相似,1999年有所增加,2000年达到峰值。5)对最高法院记录的审查显示,每年的医疗诉讼数量从1990年的352起逐渐增加到2001年的805起。6)医学事故报告数量与报纸文章数量或医疗诉讼数量之间存在显著相关性。对这些趋势的时间序列分析表明,医学事故报告数量的趋势与报纸文章数量和医疗诉讼数量的趋势密切相关,但存在时间滞后。

结论

从科学论文数据库中关于医学事故的论文研究趋势与医疗诉讼以及日报中关于医学事故的文章的趋势曲线相对应。由此证明医学专业人员对医学事故的认知反映了社会的关注重点。

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