Faculty of Medicine, Universidad de Cantabria, 39011 Santander, Spain.
IDIVAL Instituto de Investigación Sanitaria Valdecilla, 39011 Santander, Spain.
Int J Environ Res Public Health. 2022 Sep 4;19(17):11067. doi: 10.3390/ijerph191711067.
During clinical rotations, medical students experience situations in which the patients' right to privacy may be violated. The aim of this study is to analyze medical students' perception of clinical situations that affect patients' right to privacy, and to look for the influential factors that may contribute to the infringement on their rights, such as the students' age, sex, academic year or parents' educational level. A cross-sectional study was conducted with a survey via "Google Drive". It consisted of 16 questions about personal information, 24 questions about their experience when rotating and 21 questions about their opinion concerning several situations related to the right to privacy. A total of 129 medical students from various Spanish medical schools participated. Only 31% of 3rd-6th year students declared having signed a confidentiality agreement when starting their clinical practice, and most students (52%) reported that doctors "sometimes", "rarely" or "never" introduce themselves and the students when entering the patients' rooms. Additionally, about 50% of all students reported that they would take a picture of a patient's hospitalization report without his/her (consent), which would be useful for an assignment. Important mistakes during medical students' rotations have been observed, as well as a general lack of knowledge regarding patient's right to privacy among Spanish medical students. Men and older students showed better knowledge of current legislation, as well as those whose parents were both university-educated and those in higher academic years.
在临床轮转期间，医学生可能会遇到侵犯患者隐私权的情况。本研究旨在分析医学生对影响患者隐私权的临床情况的看法，并寻找可能导致侵犯其权利的影响因素，如学生的年龄、性别、年级或父母的教育水平。本研究采用横断面研究设计，通过“Google Drive”进行问卷调查。问卷包括 16 个关于个人信息的问题、24 个关于轮转经历的问题和 21 个关于他们对与隐私权相关的几种情况的看法的问题。共有来自西班牙多所医学院校的 129 名医学生参与了研究。只有 31%的 3 至 6 年级学生在开始临床实习时签署了保密协议，大多数学生（52%）报告称医生“有时”、“很少”或“从不”在进入患者房间时介绍自己和学生。此外，约 50%的学生报告说，他们会在未经患者同意的情况下拍摄患者的住院报告，这对完成作业很有用。研究观察到医学生在轮转期间犯了一些重要的错误，而且西班牙医学生普遍缺乏对患者隐私权的了解。男性和年龄较大的学生对现行法规的了解更好，那些父母都受过大学教育的学生以及处于较高年级的学生也是如此。
