居民对非患者的处方书写
Brian M Aboff1, Virginia U Collier, Neil J Farber
1Department of Medicine, Christiana Care Health System, 501 W 14th St, Wilmington, DE 19899, USA. baboff@christianacare.org
JAMA
|July 16, 2002
概括
大多数居民为非患者开处方,往往不了解法律和道德准则. 在住院培训期间,对非患者的处方书写教育至关重要.
科学领域:
- 医疗教育 医学教育
- 临床实践 临床实践
- 医学伦理 医学伦理
背景情况:
- 住院医生在医学院毕业后获得了写处方的责任.
- 在受监督的职责期间,居民处方写作受到监控.
- 在监督和道德/法律指导方针之外,对居民处方模式的知识有限.
研究的目的:
- 调查影响住院人员为非患者开处方决定的因素.
- 评估居民对有关非患者处方的伦理和法律法规的认识.
主要方法:
- 一项调查对92名内科和家庭诊所的住院医生进行了调查.
- 80%的受访居民做出了回应.
- 收集了非患者和假设场景的自我报告的处方活动.
主要成果:
- 85%的住院医生报告为非患者开处方.
- 在某些条件下,高达95%的人会给非患者开处方.
- 很少有居民理解非患者处方的伦理准则 (13%) 或法律法规 (4%).
结论:
- 对于非患者而言,无监督的处方书写在居民中很常见.
- 住院是建立实践习惯的关键时期.
- 居民需要对非患者处方的伦理,法律和责任方面进行教育.
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