Karasneh Reema, Al-Mistarehi Abdel-Hameed, Al-Azzam Sayer, Abuhammad Sawsan, Muflih Suhaib M, Hawamdeh Sahar, Alzoubi Karem H
Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, Jordan.
Department of Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Int J Gen Med. 2021 Mar 2;14:721-731. doi: 10.2147/IJGM.S301800. eCollection 2021.
The protection of patient confidentiality is an essential practice for the successful provision of healthcare. This study examines physicians' knowledge and attitudes related to data sharing and patient confidentiality.
This is a descriptive, questionnaire-based study. Physicians were invited via e-mail to complete the study survey. The survey comprised three sections related to knowledge, attitudes, and demographic characteristics.
A total of 221 physicians, with varying levels of experience and from a range of specialty areas, completed the study survey. Ethical dilemmas were encountered annually by physicians specialized in family medicine and daily by physicians in internal medicine wards more often than those in other departments. The mean score for knowledge was 7.34 (out of 14; SD=2.92) and had a positive correlation with attitudes towards the protection of data confidentiality (r=0.282, <0.001). Undergraduate courses were the main source of knowledge related to ethical issues (167; 74.9%). Sex (B=-1.47, =0.001), marriage (B=-1.198, =0.021), and source of consultation (B=-.248, =0.02) were all found to predict knowledge scores. Likewise, attitudes were predicted by experience (B= 0.279, <0.001), sex (B= -2.797, =0.002), marriage (B=1.91, =0.02), and number of ethical dilemmas faced (B=1.695, <0.001).
Physicians from different departments were found to lack sufficient knowledge about many aspects of patient confidentiality. While some of the physicians' practices complied with the law, other practices were identified as patient confidentiality breaches.
保护患者隐私是成功提供医疗服务的一项基本做法。本研究调查了医生关于数据共享和患者隐私的知识与态度。
这是一项基于问卷调查的描述性研究。通过电子邮件邀请医生完成研究调查。该调查包括与知识、态度和人口统计学特征相关的三个部分。
共有221名经验水平各异、来自不同专业领域的医生完成了研究调查。与其他科室相比，家庭医学专科医生每年都会遇到伦理困境，而内科病房的医生每天都会遇到伦理困境。知识方面的平均得分为7.34（满分14分；标准差=2.92），且与保护数据隐私的态度呈正相关（r=0.282，<0.001）。本科课程是与伦理问题相关知识的主要来源（167人；74.9%）。研究发现，性别（B=-1.47，=0.001）、婚姻状况（B=-1.198，=0.021）和咨询来源（B=-.248，=0.02）都能预测知识得分。同样，经验（B=0.279，<0.001）、性别（B=-2.797，=0.002）、婚姻状况（B=1.91，=0.02）和面临的伦理困境数量（B=1.695，<0.001）也能预测态度。
研究发现，不同科室的医生在患者隐私的许多方面缺乏足够的知识。虽然一些医生的做法符合法律规定，但也有其他做法被认定为违反患者隐私。
