Dickinson G E, Pearson A A
Med Care. 1979 Jun;17(6):682-5. doi: 10.1097/00005650-197906000-00011.
Medical specialty of physicians was related to attitudes toward dying patients to determine if differences occur as suggested by the literature. Data from a questionnaire completed by 1,012 physicians from the classes of 1972--1975 in five selected medical schools were analyzed using the chi-square distribution to test the relationship between the response to each of the 11 Likert-type statements and the medical specialty of the physicians. Mean responses by medical specialty to the statements were ranked and correlated to Rea's ranking with respect to the probability of dealing with terminal patients by specialty using a Spearman Rank Correlation Coefficient. Support was found for Rea's conclusion that physicians such as oncologists with a high probability of relating to dying patients tended to be more open with the patient whereas a specialty like obstetrics-gynecology with a low probability tended to operate in more of a closed awareness context.
医生的医学专业与对濒死患者的态度相关，以确定是否如文献所暗示的那样存在差异。对五所选定医学院1972 - 1975届的1012名医生填写的问卷数据进行分析，使用卡方分布来检验对11个李克特式陈述中每一个的回答与医生医学专业之间的关系。按医学专业对陈述的平均回答进行排名，并使用斯皮尔曼等级相关系数将其与雷亚关于各专业处理晚期患者概率的排名相关联。研究结果支持了雷亚的结论，即像肿瘤学家这类与濒死患者接触概率高的医生往往对患者更坦诚，而像妇产科这类接触概率低的专业往往在更封闭的认知环境中操作。
