由于中国医院的功能健康素养挑战,受损知情同意
Dangui Zhang1, Zhilin Hu2, Zhuojia Wu2
1Research Center of Translational Medicine, Second Affiliated Hospital of Shantou University Medical College, Shantou, P.R. China.
BMC medical ethics
|August 23, 2024
概括
在提供医疗同意时,中国患者经常在功能健康素养 (FHL) 方面扎,这表明需要改进知情同意表格和临床医生培训. 在FHL中,这种妥协影响了伦理医疗服务和患者理解.
科学领域:
- 医学伦理 医学伦理
- 卫生识字 卫生识字
- 在知情同意的情况下同意.
背景情况:
- 知情同意是医疗干预的法律和道德要求.
- 住院患者经常遇到关于知情同意表格 (ICF) 的功能健康素养 (FHL) 的挑战.
- 在中国,ICF和知情同意程序的有效性需要进一步调查.
研究的目的:
- 评估中国患者的功能健康素养 (FHL) 适度,以获得知情同意.
- 在中国教学医院医疗知情同意的背景下,确定影响FHL的因素.
主要方法:
- 这是一项横截面研究,涉及对两家教学医院的27名患者和59名亲属进行结构化采访.
- 功能性健康素养 (FHL) 用三步评估进行评估:反教,感知和认知.
- 使用SPSS分析数据,P值<0.05被认为是显著的.
主要成果:
- 大多数参与者拥有高中教育或以下学历.
- 中位数FHL分数在反教 (4.0/10) 和认知 (6.5/10) 方面较低,但在感知 (8.0/10) 方面较高.
- 较低的教育水平和作为一名患者是不充分的FHL的独立风险因素;障碍包括非患者为中心的ICF,时间限制和沟通不良.
结论:
- 个人和组织的健康素养显著不足,使中国教学医院的知情同意权受到损害.
- 建议包括提高ICF的质量和实施强制性,以结果为重点的临床医生培训,以知情同意为基础.
- 改进的目的是维护医疗道德,确保优质护理,尊重患者价值观,减少医疗纠纷.
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