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患者权利:埃及南部的一项医院调查

Patients' rights: a hospital survey in South Egypt.

作者信息

Abou Zeina Hanaa A, El Nouman Azza A, Zayed Moushera A, Hifnawy Tamer, El Shabrawy Ekram M, El Tahlawy Eman

机构信息

Cairo University, Egypt.

出版信息

J Empir Res Hum Res Ethics. 2013 Jul;8(3):46-52. doi: 10.1525/jer.2013.8.3.46.

Abstract

We examined the awareness of and practices regarding patients' rights in one of the general hospitals in South Egypt. This cross-sectional study incorporated a convenience sample of the hospitalized patients and their companions (N = 292), as well as the actively working medical care providers (MCPs) at the time of data collection, 72 physicians and 48 nurses. Pretested structured questionnaires inquired about the way in which patients' rights are perceived by and exercised through the lived experiences of the sample group. An in-depth interview about patient rights' practices was conducted with the study hospital's highest-level manager. Three quarters of the patients and companions did not know about the list of patients' rights, compared to about half of the physicians and nurses--77%, 44%, and 48% respectively. Among those patients and companions who were knowledgeable about the list of patients' rights, mass media was their main source of knowledge, about eight times greater than their next source, placards on the hospital wall. The proportion of the physicians who stated undergraduate curriculum as a source of their knowledge was almost half that of the nurses. Strategies to promote awareness among MCPs, and to ensure effective supervision from both the Ministry of Health and local managers, should precede mass community patients' rights awareness efforts.

摘要

我们对埃及南部一家综合医院的患者权利认知及实践情况进行了调查。这项横断面研究纳入了住院患者及其陪护人员(N = 292)的便利样本,以及数据收集时在职的医疗服务提供者(MCPs),包括72名医生和48名护士。预先测试的结构化问卷询问了样本群体对患者权利的认知方式以及通过实际经历行使患者权利的情况。我们还与该研究医院的最高级别管理人员就患者权利实践进行了深入访谈。四分之三的患者及陪护人员不知道患者权利清单,相比之下,医生和护士中约有一半知道——分别为77%、44%和48%。在那些了解患者权利清单的患者及陪护人员中,大众媒体是他们主要的知识来源,比第二大来源——医院墙上的布告牌多约八倍。将本科课程列为知识来源的医生比例几乎是护士的一半。在开展大规模社区患者权利意识宣传活动之前,应先采取提高医疗服务提供者意识的策略,并确保卫生部和当地管理人员进行有效监督。

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