影响医务人员医学伦理审查认知的因素分析

摘要

Objective:To analyze the influential factors of medical staff's cognition on medical ethics review in Wuhan municipal medical institutions,and thus to provide suggestions for strengthening the ethical construction.Methods:Aquestionnaire survey was conducted among medical staff.Chi-square test and Logistic regression method were performed to analyze the influential factors of medical staff's cognition on medical ethics review.Results:The results showed that medical staff's cognition on medical ethics review was affected by the technical tide,education background,whether had received ethical education,the cognition on ethics committees and whether the medical institution had established ethics committee.With higher technical titles,they thought more necessity to establish ethics committees and conduct ethical review of the clinical applications of new technology and new business.Those with higher technical titles and had read the ethical propaganda materials thought it more necessary to conduct ethical review of the clinical application of new technology and new business and the ethical review of biomedical research involved human beings.Conclusions:The medical institution should embody the establishment and standardization of ethical committees into the hospital assessment management system,as a necessary condition for the application of research projects and achievement awards.Also,it should conduct medical ethics training for all medical staff.Only those passed the examination can enter into the research and clinical operation with certificates,which can protect the medical ethics education into practice.It should strengthen the medical staff's cognition on ethical review,constantly innovate the operation rules and management system based on following the basic ethical review principles,and constantly improve the medical ethical review mechanism.%目的 分析影响武汉市级医疗机构医务人员医学伦理审查认知的因素,为加强伦理建设提出建议.方法 采用统一的问卷调查,使用x2检验和Logistic回归统计方法对医学伦理审查认知影响因素进行统计分析.结果 技术职称、学历、是否接受过伦理教育、对伦理委员会的认知以及供职医疗机构是否成立伦理委员会5个因素影响医务人员对医学伦理审查的认知;技术职称越高的人员越认为有必要设立伦理委员会并开展新技术新业务临床应用的伦理审查;阅读过伦理宣传品、技术职称越高越认为必须开展新技术新业务临床应用的伦理审查和涉及人的生物医学研究的伦理审查.结论 医疗机构应当将伦理委员会的建立与规范纳入医院考核管理体系,作为医院科研课题申报、成果评奖的必备条件之一;对全体参与医务人员进行医学伦理培训,考核合格后,持证进入科研与临床操作,从制度上保障医学伦理教育落到实处;深化医务人员对伦理审查的认知,在遵循伦理审查基本原则的基础上,不断创新操作规程和管理制度,不断完善医学伦理审查机制.