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法赫德国王大学医院医生对患者权利的了解。

Doctors' knowledge of patients' rights at King Fahd Hospital of the University.

作者信息

Al-Muammar Sarah A, Gari Danya M K

机构信息

Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

J Family Community Med. 2017 May-Aug;24(2):106-110. doi: 10.4103/jfcm.JFCM_97_16.

Abstract

OBJECTIVES

To assess the level of physicians' knowledge about the contents of patients' bill of rights (PBR) and its implementation.

MATERIALS AND METHODS

This cross-sectional study was carried out at a university hospital in the Eastern Province of Saudi Arabia. All physicians working in the hospital received a self-administered questionnaire to measure their level of knowledge of PBR. Scoring was done to determine the knowledge of the details. The study was approved by the Institutional Review Board of the University Hospital and permission sought from the administration. Data analysis performed with SPSS; descriptive analyses included frequency and percentages for categorical variables, and mean and standard deviations for continuous variables. Bivariate analyses were carried out to determine association between sociodemographic variables and the level of knowledge (adequate/inadequate). Logistic regression analysis were performed to calculate adjusted odds ratio at 0.05 significance level.

RESULTS

Most (52.7%) of the physicians were females, were aged between 25 and 30 years (58.5%), and Saudi (80.2%). The majority of the physicians belonged to the residency program (44.9%) and had work experience of 1-5 years (45.4%). About 44% physicians had adequate knowledge about PBR and 55.56% had inadequate knowledge. Regarding physician's response to each item of PBR, the majority (98.1%) gave correct answer to Item 2: "Patients should know the identity and professional status of the healthcare providers responsible for their treatment" (98.1%). Item 25: "Doctors are entitled to withhold any procedures related to a patient's condition if the patient refuses their choice of treatment" was the item with the least correct response (15.5%).

CONCLUSION

Reinforcement and strict implementation of PBR are necessary. The institution should provide training and motivate physicians, especially younger doctors regarding PBR to ensure good health for all and safeguard the integrity of both the physician and the hospital.

摘要

目的

评估医生对患者权利法案(PBR)内容及其实施情况的了解程度。

材料与方法

这项横断面研究在沙特阿拉伯东部省份的一家大学医院进行。医院所有在职医生均收到一份自填式问卷,以测量他们对PBR的了解程度。通过评分来确定对细节的了解情况。该研究获得了大学医院机构审查委员会的批准,并征得了管理层同意。使用SPSS进行数据分析;描述性分析包括分类变量的频率和百分比,以及连续变量的均值和标准差。进行双变量分析以确定社会人口统计学变量与知识水平(充分/不充分)之间的关联。进行逻辑回归分析以计算在0.05显著性水平下的调整比值比。

结果

大多数(52.7%)医生为女性,年龄在25至30岁之间(58.5%),沙特人(80.2%)。大多数医生属于住院医师项目(44.9%),工作经验为1至5年(45.4%)。约44%的医生对PBR有充分了解,55.56%了解不足。关于医生对PBR各项条款的回答,大多数(98.1%)对第2项“患者应了解负责其治疗的医疗服务提供者的身份和专业地位”回答正确(98.1%)。第25项“如果患者拒绝医生选择的治疗方案,医生有权拒绝进行任何与患者病情相关的程序”的正确回答率最低(15.5%)。

结论

加强并严格实施PBR是必要的。该机构应提供培训并激励医生,尤其是年轻医生了解PBR以确保所有人的健康,并维护医生和医院的诚信度。

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