在Covid-19大流行期间医生实践中的患者权利:罗马尼亚的一项横截面研究
Maria Cristina Plaiasu1, Dragos Ovidiu Alexandru2, Codrut Andrei Nanu3
1Doctoral School, University of Medicine and Pharmacy of Craiova, 2 Petru Rares St, Craiova, 200349, Romania. cristina.plaiasu@umfcv.ro.
BMC medical ethics
|July 26, 2023
概括
尽管有法律要求,但在COVID-19大流行期间,医生遵守患者权利的程度很低. 建议提供教育和行政支持,以改善医疗保健专业人员的法律合规性.
科学领域:
- 医疗法 法律 医疗法
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- COVID-19大流行严重影响了医疗保健服务,挑战了既定的医疗实践和规范.
- 在疫情期间,遵守法律仍然至关重要,确保患者享有平等待遇,专业护理,第二意见,保密性和知情同意的权利.
- 这项研究调查了疫情期间有关患者权利的医生实践,分析了年龄,经验和专业等因素,以及不当做法和法律遵守的担忧.
研究的目的:
- 评估医生在COVID-19大流行期间遵守患者权利法规.
- 探索医生人口统计学 (年龄,经验,专业) 对他们遵守患者权利的影响.
- 检查对不当执业的恐惧,法律合规性和医生在专业之外工作之间的关系.
主要方法:
- 在罗马尼亚西南部的医生和全科医生进行了横截面研究.
- 数据是从2021年7月到2022年5月采集的,采用了便利样本.
- 该研究评估了医生对患者权利的承认,并探讨了他们关于治疗优先级和实践范围的做法.
主要成果:
- 总体上,患者权利的遵守程度中等,全科医生对患者权利的遵守程度略高 (59.9%),而非主治医生 (55.7%).
- 紧急和麻醉/重症监护专业的医生表现出最低的合规率.
- 很大一部分医生 (46.2%) 偏爱年轻患者的治疗优先级,超过一半的医生由于人员短缺而在专业之外工作. 担心不当行为普遍存在,但与法律遵守或实践偏差范围没有直接关系.
结论:
- 在COVID-19大流行期间,医生对患者权利的遵守程度不够理想.
- 有针对性的教育和行政支持可以提高医生的法律合规性.
- 需要进一步的研究,以确定这些做法和合规水平是否在流行病后继续存在.
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