立陶宛患者权利法的认知与实践

Awareness and practice of patient's rights law in Lithuania.

作者信息

Ducinskiene Danute, Vladickiene Jurgita, Kalediene Ramune, Haapala Irja

机构信息

Department of Social Medicine, Faculy of Public Health, Kaunas University of Medicine, Lithuania.

出版信息

World Hosp Health Serv. 2007;43(3):22-6.

PMID:18269105

Abstract

BACKGROUND

Patient's rights law is intended to secure good medical practice, but it can also serve to improve understanding between patients and medical staff if both were aware of their rights.

METHODS

Awareness and practice of the new patient's rights law in Lithuanian health care institutions was explored through a survey of 255 medical staff and 451 patients in the four Kaunas city medical units in 2002. Participation rates were 74% and 66%, respectively.

RESULTS

Majority of the medical staff (85%) and little over one half of the patients (56%) had heard or read about the Law on Patient's Rights (p < 0.001). Only 50% of professionals compared to 69% of patients thought information for patients about diagnosis, treatment results and alternative treatments is necessary (p < 0.001). A clear discrepancy was indicated between physicians informing the patients (80%-98% of physicians) and patients actually knowing (37%-54%) their treatment prognosis, disease complications or possible alternative treatment methods.

CONCLUSION

These results suggest a need for awareness-raising among patients to improve the practical implementation of the Patient's Rights Law in Lithuania.

摘要

背景

患者权利法旨在确保良好的医疗实践，但如果医患双方都了解自己的权利，它也有助于增进医患之间的理解。

方法

2002年，通过对考纳斯市四个医疗单位的255名医务人员和451名患者进行调查，探讨了立陶宛医疗机构对新患者权利法的知晓情况和实践情况。参与率分别为74%和66%。

结果

大多数医务人员（85%）和略超过一半的患者（56%）听说过或读过《患者权利法》（p<0.001）。只有50%的专业人员认为有必要向患者提供有关诊断、治疗结果和替代治疗的信息，而患者的这一比例为69%（p<0.001）。在告知患者病情方面，医生（80%-98%的医生）与患者实际了解（37%-54%）自己的治疗预后、疾病并发症或可能的替代治疗方法之间存在明显差异。