Giedrikaite Ryte, Miseviciene Irena, Jakusovaite Irayda
Department of Philosophy and Social Sciences, Kaunas University of Medicine, Kaunas, Lithuania.
Medicina (Kaunas). 2008;44(1):64-71.
The aim of the study was to compare the opinions of physicians and patients about confidence and confidentiality in inpatient personal healthcare institutions.
From November 2006 to February 2007, a survey was performed in seven randomly selected hospitals of two counties of Lithuania. The study included all patients who on the day of the inquiry were undergoing treatment in the departments of internal diseases and surgery, as well as all physicians who were working in these departments on that day. The exclusion criteria were severe health condition and recent admission to the department. In total, 494 questionnaires were distributed; 366 of them were distributed among patients (response rate was 71.3%) and 128 among physicians (response rate was 70.3%).
Nearly all inquired patients (94.2%) stated that they trusted their physician. There were no differences between the physicians' and the patients' opinions in this respect. Respectful communication is one of the preconditions for confidence between a physician and a patient. According to the findings of our study, 94.2% of patients thought that physicians communicated with them in a respectful manner, whereas according to 62.8% of physicians, patients communicated with them respectfully, and according to 36% of physicians - partially respectfully. Confidentiality was evidently associated with confidence. According to the findings of our study, 38.3% of patients thought that information about their disease and the results of their medical examinations were classified, but as much as 39.5% of patients did not have any clear opinion on this issue. The majority of the physicians thought that they ensured confidentiality of information about their patients' health status (97.7%), diagnosis (100%), the findings of medical examinations (100%), applied treatment methods (97.7%), and prognosis of treatment (94.2%).
Patients evaluated their confidence in physicians very highly. Both physicians and patients provided positive evaluations of mutual communication. The situation with information provided to the patients and the confidentiality of the results of medical examinations in inpatient personal healthcare units remains indeterminate. More than one-third (38.3%) of patients thought that information about their disease and the results of medical examinations were classified, whereas 39.5% of patients did not have any clear opinion on this issue. Nearly all of the physicians thought that they ensured the confidentiality of information about their patients, but they also stated that the assurance of the confidentiality of information is the responsibility of all parties involved, including patients themselves, rather than only the medical personnel.
本研究的目的是比较医生和患者对住院个人医疗机构中信任和保密问题的看法。
2006年11月至2007年2月，在立陶宛两个县随机选取的七家医院进行了一项调查。该研究纳入了所有在调查当天在内科和外科接受治疗的患者，以及当天在这些科室工作的所有医生。排除标准为健康状况严重和近期入院。总共发放了494份问卷；其中366份发放给患者（回复率为71.3%），128份发放给医生（回复率为70.3%）。
几乎所有被调查的患者（94.2%）表示他们信任自己的医生。在这方面，医生和患者的看法没有差异。尊重性沟通是医患之间信任的前提条件之一。根据我们的研究结果，94.2%的患者认为医生与他们沟通时态度尊重，而62.8%的医生认为患者与他们沟通时态度尊重，36%的医生认为部分患者态度尊重。保密显然与信任相关。根据我们的研究结果，38.3%的患者认为关于他们疾病和体检结果的信息是保密的，但多达39.5%的患者对此问题没有明确看法。大多数医生认为他们确保了患者健康状况（97.7%）、诊断（100%）、体检结果（100%）、应用的治疗方法（97.7%）和治疗预后（94.2%）信息的保密性。
患者对医生的信任评价很高。医生和患者对相互沟通都给予了积极评价。住院个人医疗机构中向患者提供信息的情况以及体检结果的保密性仍然不明确。超过三分之一（38.3%）的患者认为关于他们疾病和体检结果的信息是保密的，而39.5%的患者对此问题没有明确看法。几乎所有医生都认为他们确保了患者信息的保密性，但他们也表示，确保信息保密是包括患者自身在内的所有相关方的责任，而不仅仅是医务人员的责任。
