Hosseini-Ghavam-Abad Leila, Asghari Fariba, Bandehagh Ali, Najafipour Sedigheh, Bigdeli Shoaleh
Center for Educational Research in Medical Sciences (CERMS), Iran University of Medical Sciences (IUMS), Tehran, Iran, & Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran, & Department of Health Care Management, Sciences and Re-search Branch, Islamic Azad University, Semnan, Iran.
Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2019 Mar 4;33:12. doi: 10.34171/mjiri.33.12. eCollection 2019.
Respecting patients' privacy is an essential professional responsibility for physicians and other health team members. In this regard, this study investigates medical students' knowledge and attitude about confidentiality and disclosure of patients' information. In this cross-sectional study, 160 medical students of Iran University of Medical Sciences participated who were selected using stratified random sampling. Data were gathered using a valid and reliable self-report questionnaire. Student's knowledge and attitude toward medical confidentiality were assessed using self-administered and researcher-made questionnaires. Cronbach's alpha coefficients for knowledge and attitude levels were 79.7 and 82.2, respectively. The average of medical students' responses to knowledge and attitude questions were 56.6% (9.6/ 17) and 55.3% (9.4 out of 17), respectively. On average, females had an acceptable attitude about 57.5% of the questions, whereas this was 50.9% for males. On average, females had an acceptable knowledge about 59.5% of the questions, whereas this was 50.6% for males. Therefore, female's attitudes and knowledge were more correct than their male counterparts (p<0.001). The low level of knowledge and attitude of medical students towards medical confidentiality indicates that revision of Iranian medical education curriculum to reinforce attention and knowledge of medical students on this issue to render appropriate care to patients is a necessity. Medical students' knowledge and attitude towards patient's confidentiality rights is not fulfilling.
尊重患者隐私是医生和其他医疗团队成员的一项基本职业责任。在这方面，本研究调查了医学生对患者信息保密和披露的知识与态度。在这项横断面研究中，伊朗医科大学的160名医学生参与其中，他们是通过分层随机抽样选取的。数据通过一份有效且可靠的自填式问卷收集。使用自行编制的问卷对学生对医疗保密的知识和态度进行评估。知识和态度水平的克朗巴哈系数分别为79.7和82.2。医学生对知识和态度问题的回答平均分别为56.6%（17题中答对9.6题）和55.3%（17题中答对9.4题）。平均而言，女性对57.5%的问题态度可接受，而男性为50.9%。平均而言，女性对59.5%的问题知识掌握可接受，而男性为50.6%。因此，女性的态度和知识比男性更正确（p<0.001）。医学生对医疗保密的知识和态度水平较低，这表明有必要修订伊朗医学教育课程，以加强医学生对这一问题的关注和知识，从而为患者提供适当的护理。医学生对患者保密权利的知识和态度并不令人满意。
