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癌症患者对信息及自主权背景下患者权利的看法。

The views of cancer patients on patient rights in the context of information and autonomy.

作者信息

Erer S, Atici E, Erdemir A D

机构信息

Uludağ University, Faculty of Medicine, Deontology Department 16059, Bursa, Turkey.

出版信息

J Med Ethics. 2008 May;34(5):384-8. doi: 10.1136/jme.2007.020750.

Abstract

OBJECTIVES

The aim of this study is to evaluate the views of cancer patients on patient rights in the context of the right to information and autonomy according to articles related to the issue in the "Patient Rights Regulation".

METHODS

The research was conducted among cancer patients in the medical oncology department of a research and practice hospital using a random sampling method between June and September 2005. Data were collected during face-to-face interviews using a questionnaire.

RESULTS

There was a high rate of positive response to the items that the patients have the right to be informed (86.5%), that the physician should inform the patient on the diagnosis and the treatment (92.3%) and that the physician is obliged to inform the patient (76.9%). Only 43.3% of the patients stated that the patient has the right to refuse the treatment recommended by the physician. The participants mostly agreed that the patient should participate in decisions about the treatment and that patient consent should be given (78.8%).

CONCLUSIONS

There are extensive efforts in Turkey towards making patient rights a significant supportive component of health services. For patient rights to become a natural part of medical practice it is necessary to give priority to education of both patients and physicians about patient rights and to lay emphasis on an ethical approach in the patient-physician relationship.

摘要

目的

本研究旨在根据《患者权利条例》中与该问题相关的条款,评估癌症患者在知情权和自主权背景下对患者权利的看法。

方法

2005年6月至9月期间,采用随机抽样方法,在一家研究与实践医院的医学肿瘤科对癌症患者进行了研究。通过问卷调查在面对面访谈中收集数据。

结果

对于患者有权获得信息(86.5%)、医生应告知患者诊断和治疗情况(92.3%)以及医生有义务告知患者(76.9%)这些项目,患者的肯定回答率很高。只有43.3%的患者表示患者有权拒绝医生推荐的治疗。参与者大多同意患者应参与治疗决策并应获得患者同意(78.8%)。

结论

土耳其在使患者权利成为卫生服务的重要支持性组成部分方面做出了广泛努力。为使患者权利成为医疗实践的自然组成部分,有必要优先对患者和医生进行患者权利教育,并强调医患关系中的伦理方法。

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