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兽医和兽医专业学生对构成医疗纠纷的风险因素的认知以及2014年至2022年的比较

Perceptions of Veterinarians and Veterinary Students on What Risk Factors Constitute Medical Disputes and Comparisons between 2014 and 2022.

作者信息

Chen Zih-Fang, Hsu Yi-Hsin Elsa, Lee Jih-Jong, Chou Chung-Hsi

机构信息

Zoonoses Research Center, School of Veterinary Medicine, National Taiwan University, Taipei 10617, Taiwan.

Executive Master Program of Business Administration in Biotechnology, Taipei Medical University, Taipei 11031, Taiwan.

出版信息

Vet Sci. 2023 Mar 6;10(3):200. doi: 10.3390/vetsci10030200.

Abstract

This study compared the risk perceptions of medical disputes among veterinarians and veterinary students in Taiwan between 2014 and 2022. Online validity-tested questionnaires were used to collect data, with 106 (73 veterinarians and 33 students) and 157 (126 veterinarians and 31 students) surveys collected in 2014 and 2022, respectively. Respondents would be asked to rate their perceptions on how likely each risk factor constitutes a medical dispute according to their past experiences on a five-point Likert scale from 1 to 5: "Very unlikely, unlikely, neutral, likely, very likely." The results showed that overall risk perceptions increased significantly in 2022 compared to 2014, with the top risk factors being attitudes during interactions and complaint management among experienced veterinarians. In contrast, students considered medical skills and clients' perspectives as the top two risk factors, with complaints management ranking as the least significant factor. The findings suggest that effective communication and complaint management are crucial in preventing medical disputes, highlighting the importance of developing these skills in young veterinarians and veterinary students to reduce medical disputes. The study also recommends increasing practical experiences of medical disputes and complaint management in veterinary education to bridge the gap between the perceptions of experienced veterinarians and students.

摘要

本研究比较了2014年至2022年台湾兽医和兽医学生对医疗纠纷的风险认知。使用经过在线效度测试的问卷收集数据,2014年和2022年分别收集了106份(73名兽医和33名学生)和157份(126名兽医和31名学生)调查问卷。受访者将被要求根据他们过去的经验,在1至5的五点李克特量表上对每个风险因素构成医疗纠纷的可能性进行评分:“非常不可能、不太可能、中性、可能、非常可能”。结果显示,与2014年相比,2022年的总体风险认知显著增加,经验丰富的兽医中最主要的风险因素是互动过程中的态度和投诉管理。相比之下,学生认为医疗技能和客户观点是前两大风险因素,投诉管理是最不重要的因素。研究结果表明,有效的沟通和投诉管理对于预防医疗纠纷至关重要,凸显了在年轻兽医和兽医学生中培养这些技能以减少医疗纠纷的重要性。该研究还建议在兽医教育中增加医疗纠纷和投诉管理的实践经验,以弥合经验丰富的兽医和学生认知之间的差距。

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