医学生 の 患者 の 説得 に 関する 態度 と 経験: 共同 の 意思決定 の 倫理 を 明確 に する
John Muckler1, James C Thomas2, Laura Shinkunas3
1Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Journal of general internal medicine
|September 4, 2025
まとめ
医学生たちは 倫理や経験 性別によって 医者の説得力について 異なる見解を示しています 効果的な説得戦略のための道徳的倫理,倫理的正当化,ロールモデルを教育に統合すべきです.
科学分野:
- 医学 の 倫理
- 臨床的意思決定
- 徳 倫理
背景:
- 共同意思決定における医師の説得は 自主性と善意のような倫理的原則によって導かれます
- 臨床医が説得を評価する際にこれらの原則を 徳倫理と統合する方法については 限られた理解がある.
研究 の 目的:
- 医学生の態度と経験を調査し,医師の説得力を共有して意思決定を行うこと.
- 倫理的原則と臨床経験がこれらの見解をどのように形作っているかを探求する.
主な方法:
- 臨床前と臨床医学生の 横断的なオンライン調査
- 倫理的態度や経験を含む31項目のツールを使用しました.
- 説得スコアに関する二変数および多変数 (LASSO回帰) 分析を使用した.
主要な成果:
- 患者の利益のために医師の説得を支持した学生は55.7%で,支持率は臨床シナリオによって異なっていた.
- 70.0%が慈善活動に 説得力があると考えており, 16.9%が自律性に関する懸念を示しています.
- 説得のポジティブな予測要因には,善意,ロールモデル観察,参加経験の信念が含まれていました. ネガティブな予測要因には,自律性の懸念と不適切な使用の観察が含まれていました.
結論:
- 医学生の医師の説得に対する態度は 倫理的信念 臨床的暴露 性別に関係しています
- 説得のための教育戦略は,倫理的正当化,実践的経験,ロールモデル,徳の倫理原則と整合する必要があります.
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