中国农村的全科医生对医疗错误的看法:一种定性面试研究
Hange Li1,2, Ziting Guo1, Wenbin Yang3,4
1Vanke School of Public Health, Tsinghua University, Beijing, China.
BMJ open quality
|December 30, 2023
概括
在中国农村,医疗错误的报道不足,原因是概念不清晰和责备文化. 提高患者安全需要一个支持的环境和培训在乡镇卫生中心的全科医生.
科学领域:
- 公共卫生 公共卫生
- 患者安全 患者安全
- 医学教育 医学教育
背景情况:
- 医疗错误 (ME) 是一个重要的公共卫生问题,在中国农村的初级保健中,报告不足的情况普遍存在.
- 中国农村医疗保健机构对患者安全的研究是有限的.
研究的目的:
- 确定导致乡镇卫生中心 (THC) 的全科医生中医疗错误 (ME) 报告不足的因素.
主要方法:
- 与来自6个省份30个THC的31名全科医生进行了定性半结构面试.
- 有根据的理论方法与主题分析.
主要成果:
- 不一致的ME理解,从轻微的后果到医疗不当.
- 对ME的常见反应包括隐藏和惩罚,没有通过国家临床改善系统报告的不良事件.
- 关于ME的讨论主要集中在个体医生上,而不是系统问题上.
结论:
- 低报告ME与不清晰的概念,缺乏意识和责备文化有关.
- 对于培养支持性环境,提供患者安全培训和促进农村初级保健的基于错误的改进至关重要.
- 解决系统性因素对于改善患者安全和识别/减轻医疗错误至关重要.
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