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病人参与循证医学现状调查分析 被引量:11

Patient Involved in Evidence-based Medicine: a Baseline Survey of Current Status
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摘要 目的 了解病人及病人家属对健康信息的需求 ,获得基线资料 ,进而制定病人参与循证医学的对策 ,促进医患之间的交流 ,提高医疗服务的质量。 方法 采用随机整群抽样方法 ,抽取 2 0 0 1年 11月至 2 0 0 2年 1月在四川大学华西医院 4个科室的住院病人 2 0 8例以及四川大学附属第二医院儿科住院病人的家属 4 6例 ,进行问卷调查。用Excel建立数据库 ,采用SPASS10 .0对数据进行统计学分析处理。 结果 调查对象均未听说过循证医学 ;多数调查对象对自身疾病或健康信息了解不多 ,但渴望了解更多信息。医疗信息获取的途径依次是 :医护人员、报刊杂志、亲朋好友、英特网。 结论 本次调查发现 ,医疗卫生服务过程中 ,“医疗费用”和“治疗措施是否有效”仍是病人及其家属关注的重点 ,但是病人及其家属获取健康信息的途径非常有限。 Objective To investigate baseline data of the current status of patients in China, and thus to develop strategies to get patients involved in evidence-based medicine (EBM). Method 300 questionnaires with 17 questions were distributed to the in-patients in West China Hospital, Sichuan University. Statistical software such as SPASS 10.0 was applied to analyze all the data. Results No patients had ever heard of EBM. Most patients did not know much information about their diseases, but had a strong desire to learn from their doctors. Most of them would like to be involved in the treatment decision-making and hoped that their doctors would care about their preference. The cost and the effectiveness of the treatment were the most important issues that patient concerned about. Conclusions The dissemination of health information is very limited for patients and the accessibility of effective health information depends much on the direct communication with their doctors. Promoting patient involved in EBM is fairly a hard and long way to go based on the actual reality of the country.
出处 《中国循证医学杂志》 CSCD 2003年第4期284-286,共3页 Chinese Journal of Evidence-based Medicine
关键词 循证医学 医疗卫生 健康信息 医疗服务 Patient involvement Health information Evidence-based medicine
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参考文献1

  • 1王家良.21世纪的临床医学:循证医学[M].北京:人民卫生出版社,2001.62-73.

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