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关于梅加拉亚邦注册医生对医疗法律案件管理知识的横断面研究。

A cross-sectional study on knowledge of registered medical practitioners, regarding management of medico-legal cases in Meghalaya.

作者信息

Nath Anamika, Ropmay Amarantha D, Slong Daunipaia, Patowary Amar Jyoti, Rao Ankith J

机构信息

Department of Forensic Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.

出版信息

J Family Med Prim Care. 2022 Mar;11(3):904-907. doi: 10.4103/jfmpc.jfmpc_49_21. Epub 2022 Mar 10.

DOI:10.4103/jfmpc.jfmpc_49_21
PMID:35495834
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9051675/
Abstract

INTRODUCTION

Medico-legal issues are handled by every registered medical practitioner in their day-to-day medical practice but if they are not well versed with rules of managing such cases and laws behind them, they often land into criticism and are distressed at the courts while disposing of the cases.

OBJECTIVE

To assess the knowledge of registered medical practitioners in Meghalaya regarding the management of medico-legal cases in day-to-day medical practices.

MATERIALS AND METHODS

This was a cross-sectional study, conducted at the Department of Forensic Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS) for 6 months. The study group included registered medical practitioners working in the government sector who were approached through the Director of Health Services (DHS), Meghalaya. Study tools included one preformed and pretested questionnaire. Knowledge was assessed along with designation and years of experience. A value of < 0.05 was considered statistically significant.

RESULTS

From 94 subjects analyzed for their answers, 56% had adequate knowledge. Amongst nonspecialist doctors (n = 53), 52.8% had adequate knowledge and amongst specialist doctors (n = 34), 67.6% had adequate knowledge in various aspects of management of medico-legal cases, and it was found that 6.4% had adequate knowledge in documentation, 21.2% in consent, 3.2% in the Protection of Children from Sexual Offences (POCSO) Act, 71.2% in autopsy, 88.2% in legal duties in emergency care. A total of 68.7% of those having 16-20 years of experience had adequate knowledge. Chi-square test of designation and years of experience on knowledge was found to be 0.33 and 0.75, respectively.

CONCLUSION

Nearly half of the registered medical practitioners of Meghalaya have adequate knowledge. However, years of experience and designation have no significance with the knowledge of registered medical practitioners regarding the management of medico-legal issues.

摘要

引言

每一位注册医生在日常医疗实践中都会处理医疗法律问题,但如果他们不熟悉处理此类案件的规则及其背后的法律,在处理案件时往往会受到批评,并在法庭上陷入困境。

目的

评估梅加拉亚邦注册医生在日常医疗实践中对医疗法律案件管理的知识水平。

材料与方法

这是一项横断面研究,在东北英迪拉·甘地区域卫生与医学科学研究所(NEIGRIHMS)法医学系进行,为期6个月。研究组包括通过梅加拉亚邦卫生服务主任(DHS)联系到的在政府部门工作的注册医生。研究工具包括一份预先设计和预测试的问卷。根据职称和工作年限评估知识水平。P值<0.05被认为具有统计学意义。

结果

在对94名受试者的答案进行分析后,56%的人有足够的知识。在非专科医生(n = 53)中,52.8%的人有足够的知识,在专科医生(n = 34)中,67.6%的人在医疗法律案件管理的各个方面有足够的知识,结果发现6.4%的人在文件记录方面有足够的知识,21.2%的人在同意方面有足够的知识,3.2%的人在《保护儿童免受性犯罪法》(POCSO)方面有足够的知识,71.2%的人在尸检方面有足够的知识,88.2%的人在急诊护理中的法律职责方面有足够的知识。共有68.7%工作16 - 20年的人有足够的知识。职称和工作年限与注册医生在医疗法律问题管理方面的知识之间的卡方检验分别为0.33和0.75。

结论

梅加拉亚邦近一半的注册医生有足够的知识。然而,工作年限和职称与注册医生在医疗法律问题管理方面的知识并无关联。