American University of Beirut - Department of Internal Medicine, Beirut, Lebanon.
Dev World Bioeth. 2010 Apr;10(1):22-9. doi: 10.1111/j.1471-8847.2009.00258.x. Epub 2009 Aug 4.
A physician's lack of humanity is a general complaint in public surveys. The physician-patient relationship is viewed by the public as being reduced to a business relationship where the patient feels that she is merely a 'client' and the physician a healthcare 'practitioner' instead of a 'care giver'. This public perception is not a phenomenon that is peculiar to Lebanon. Yet, the problem has been increasing over the years to the extent that patients feel that physicians are becoming inhumane and business oriented. While this might not characterize all physicians of the 21(st) century, this might be true of at least some. Responses were collected from a study that was undertaken based on a questionnaire distributed to a pool of 650 participants from different geographical areas and different social and educational backgrounds in Lebanon. Participants were all older than18 years and mentally competent. None were physicians. The questionnaire was open-ended and initially piloted among a random sample. The physician traits most desired by the public were found to be: moral traits (41%), interpersonal traits (36%), scientific traits (19%) and other (4%). The most unwanted traits/behaviours were a lack of interpersonal traits (57%), a lack of moral traits (40%) and a lack of scientific skills (3%). The physician-patient relationship was perceived, in general, as being a flawed one. What can be done to remedy the image of the Lebanese physician that has been projected in the minds of the patients and the public at large? Nine major recommendations are presented.
医生缺乏人情味是公众调查中的普遍抱怨。公众认为医患关系已经沦为一种商业关系,患者觉得自己只是一个“客户”,而医生只是一个医疗保健“从业者”,而不是一个“照顾者”。这种公众看法并不是黎巴嫩特有的现象。然而,多年来,这个问题一直在加剧,以至于患者觉得医生变得不人道和以商业为导向。虽然这可能不是 21 世纪所有医生的特征,但至少有些医生是这样。这些回应是从一项研究中收集的,该研究基于对来自黎巴嫩不同地区、不同社会和教育背景的 650 名参与者进行的问卷调查。参与者年龄均在 18 岁以上且心智健全。他们都不是医生。问卷是开放式的,最初在随机样本中进行了试点。公众最希望医生具备的特质是:道德特质(41%)、人际交往特质(36%)、科学特质(19%)和其他特质(4%)。公众最不希望医生具备的特质/行为是缺乏人际交往能力(57%)、缺乏道德品质(40%)和缺乏科学技能(3%)。总的来说,医患关系被认为是有缺陷的。可以采取哪些措施来改善黎巴嫩医生在患者和公众心目中的形象?提出了 9 项主要建议。