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从医学生学习档案的角度看医患关系

[Doctor-Patient Relationship from the Perspective of Medical Students' Portfolio].

作者信息

Girela Pérez Beatriz, Rodríguez Cano María Araceli, Girela López Eloy

机构信息

Universidad de Córdoba. España.

Facultad de Medicina y Enfermería. Universidad de Córdoba. España.

出版信息

Cuad Bioet. 2018 Jan-Apr;29(95):59-67.

Abstract

Doctor-patient relationship is of paramount importance for a good medical practice, however as long as medicine has been increasingly influenced by technology and science, it may be at risk of losing contact with basic human values of respect for the beliefs and preferences of the other person. In this study, we have analyzed the deontological vision of the physician-patient relationship perceived through clinical situations reflected in the portfolios carried out by 225 students of the 5th year of the Degree of Medicine at the University of Córdoba, during the courses 2014/15 and 2015/16. 201 out of 833 deontological considerations on articles of the Code of Medical Ethics constitute non-compliances. It is noteworthy that these breaches to the Code of Medical Ethics considered refer mainly (73%) to Chapter III (doctor-patient relationship). It is particularly interesting that the problems most frequently detected are those related to attitude, forms or language and lack of understanding/confidence of the physician with the patient (article 8 with 46 noncompliances), as well as problems in providing information (articles 12.1 and 15, with 18 and 42 noncompliances respectively).

摘要

医患关系对于良好的医疗实践至关重要,然而,只要医学越来越受到技术和科学的影响,它就可能面临失去与尊重他人信念和偏好这一基本人类价值观联系的风险。在本研究中,我们分析了科尔多瓦大学医学学位五年级的225名学生在2014/15和2015/16课程期间所做的卷宗中反映的临床情况所体现的医患关系的道义学观点。833条关于医学伦理准则条款的道义学考量中有201条构成违规。值得注意的是,这些被认为违反医学伦理准则的行为主要(73%)涉及第三章(医患关系)。特别有趣的是,最常发现的问题是与态度、形式或语言以及医生对患者缺乏理解/信任相关的问题(第8条有46条违规),以及提供信息方面的问题(第12.1条和第15条分别有18条和42条违规)。

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