规范化培训阶段住院医师的医患关系模型研究

摘要

目的：通过分组对照研究，对规范化培训阶段住院医师进行强化医学伦理知识应用指导的重要性进行深入大样本研究。方法通过随机选取的方法选取100名毕业于江、浙、沪、赣的2011级规范化培训阶段的住院医师进行研究。通过问卷调查形式对住院医师的医患关系进行调查并进行相关性分析。结果两组受试者经研究统计后，分析发现医患关系模型中表现为目前较先进的互相参与模式的本科学历组为22%，较研究生学历组16%有显著差异；而66%的本科学历组和70%的研究生学历组表现为指导合作模式。结论在规范化培训阶段加强医学伦理执业能力的培养至关重要，本研究为今后进一步加强规范化培训阶段的低年资住院医师伦理应用指导的重要性及对其将来从医生涯中医患关系的影响方面提供了依据，同时在医患关系培训的方法学上提供了一定理论指导。%Objective:To carry out the large sample research of the importance of medical ethics in the stand-ardized resident doctor training. Methods:Randomly selected 100 graduated resident doctors from Jiangsu province, Zhejiang province,Shanghai and Jiangxi province of standardization training. Using the questionnaire survey form to investigate the doctor-patient relationship and carry out correlation analysis. Results:Two groups of subjects after research statistics, the analysis found the doctor-patient relationship in the model show the current mutual partici-pation pattern of the more advanced undergraduate group was 22%, 16% in the graduate student degree group has significant difference;While 66% of bachelor's degree group and 70% graduated degrees performance as the guide-cooperation mode. Conclusion:It should strengthen medical ethics in the stage of standardized training, this study further strengthen standardized training for the future stage of low qualification resident ethics application guide the importance and the influence on the doctor-patient relationship in the future physician has provided the basis, at the same time, also provides certain theoretical guidance for doctor-patient relationship training methodology.