英国、荷兰和比利时全科医生在医疗决策中对冒险行为的态度。
Attitudes to risk taking in medical decision making among British, Dutch and Belgian general practitioners.
作者信息
Grol R, Whitfield M, De Maeseneer J, Mokkink H
机构信息
Centre for Quality Assurance in Research in Family Practice, University of Nijmegen, The Netherlands.
出版信息
Br J Gen Pract. 1990 Apr;40(333):134-6.
Abstract
The attitudes of groups of general practitioners in Belgium, the UK and the Netherlands to risk taking in medical decision making have been determined. The results indicate that many doctors seek to minimize the risks that they take when treating patients. Doctors in Belgium had the highest levels of 'no risk-taking' attitudes with 60% preferring not to take risks; Dutch doctors had the lowest levels with only 24% preferring not to take risks. Possible explanations for this difference include the differences in doctor-patient relationship and the systems of medical education in these two countries.
摘要
研究确定了比利时、英国和荷兰的全科医生群体在医疗决策中对冒险的态度。结果表明，许多医生在治疗患者时试图将自己所冒的风险降至最低。比利时医生持“不冒险”态度的比例最高，60%的人倾向于不冒险；荷兰医生这一比例最低，只有24%的人倾向于不冒险。造成这种差异的可能原因包括这两个国家医患关系和医学教育体系的不同。
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本文引用的文献
1
[Defensive behavior by family practitioners].[家庭医生的防御行为]
Ned Tijdschr Geneeskd. 1984 Mar 31;128(13):598-602.
2
The critical attitude in medicine: the need for a new ethics.医学中的批判性态度：对一种新伦理的需求。
Br Med J (Clin Res Ed). 1983;287(6409):1919-23. doi: 10.1136/bmj.287.6409.1919.
3
General practitioner referral rates.全科医生转诊率。
BMJ. 1988 Aug 13;297(6646):437-8. doi: 10.1136/bmj.297.6646.437.
4
Satisfactions, dissatisfactions, and causes of stress in medical practice.医疗实践中的满意度、不满情绪及压力来源
JAMA. 1979 Apr 6;241(14):1483-6.
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