Subramanian Thilakavathi, Mathai A K, Kumar Nandini
Deputy Director, Scientist E, National Institute of Epidemiology, Indian Council of Medical Research, Second Main Rd, Ayapakkam Chennai 600 077 INDIA. e-mail:
Indian J Med Ethics. 2013 Apr-Jun;10(2):96-100. doi: 10.20529/IJME.2013.029.
The growing public concern about the ethical conduct of healthcare professionals highlights the need to incorporate clinical ethics in medical education. This study examined the knowledge and practice of clinical ethics among healthcare providers in a government hospital in Chennai. A sample of 51 treating physicians and 58 other non-physician service providers from the hospital answered a self-administered, semi-structured questionnaire on their knowledge of and adherence to ethical principles, and the problems they faced related to healthcare ethics. More than 30% did not give a definition of healthcare ethics, and 40% did not name a single ethical principle. 51% stated that they witnessed ethical problems in their settings and named patient dissatisfaction, gender bias by provider, and not maintaining confidentiality. The responses of healthcare providers to various ethical scenarios are reported.
公众对医疗保健专业人员道德行为的关注度日益提高，这凸显了将临床伦理学纳入医学教育的必要性。本研究调查了钦奈一家政府医院医护人员的临床伦理学知识与实践情况。从该医院抽取了51名主治医生和58名其他非医生服务提供者作为样本，他们回答了一份关于其对伦理原则的知识掌握、遵守情况以及所面临的医疗保健伦理相关问题的自填式半结构化问卷。超过30%的人未给出医疗保健伦理的定义，40%的人未提及任何一项伦理原则。51%的人表示他们在工作中目睹了伦理问题，并列举了患者不满、提供者的性别偏见以及未保守机密等问题。报告了医护人员对各种伦理情景的回答。
