概括
医生对告知癌症患者诊断的态度发生了巨大的变化. 虽然1961年大多数医生更喜欢隐这些信息,但由于临床经验,到1977年97%的医生更喜欢披露这些信息.
科学领域:
- 医学伦理 医学伦理
- 瘤学通讯 瘤学通讯
- 医生的态度 医生的态度
背景情况:
- 在1961年,绝大多数医生宁愿不向患者透露癌症诊断.
- 这种做法反映了医学的历史父权主义方法.
研究的目的:
- 评估医生对癌症诊断披露的态度的变化.
- 为了确定影响这些随时间的态度转变的因素.
主要方法:
- 关于患者披露政策的1961年问卷在1977年被重新管理给大学医院医务人员.
- 1977年来自264名受访者的数据与1961年的数据进行了比较.
主要成果:
- 观察到医生偏好几乎完全逆转,1977年有97%的人赞成披露,而1961年有90%的人反对.
- 临床经验仍然是一个关键因素,但医疗和医院培训在制定政策方面获得了突出地位.
- 医生不太倾向于根据研究结果改变他们的立场.
结论:
- 关于癌症诊断的医生沟通实践已经显著发展,有利于患者的自主权.
- 态度仍然受到个人信念和经验的严重影响,而不是经验证据.
- 需要进一步的研究来了解基于证据的医学对患者沟通中的临床决策的影响.
关键词:
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