【摘要】：目的：通過(guò)問(wèn)卷調(diào)查和隨機(jī)訪談的方式,描述和討論烏魯木齊地區(qū)醫(yī)患雙方對(duì)醫(yī)事法知識(shí)知曉的現(xiàn)狀,分析其存在的問(wèn)題及原因,結(jié)合新疆當(dāng)?shù)孛褡鍏^(qū)域特點(diǎn),探索提高醫(yī)患雙方醫(yī)事法知識(shí)水平的重要性,探討醫(yī)事法理念對(duì)醫(yī)患關(guān)系的影響,不斷提高醫(yī)患雙方醫(yī)事法律文化素養(yǎng),并提出有針對(duì)性的建議和措施。方法：以烏魯木齊六家醫(yī)院部分醫(yī)護(hù)人員和就醫(yī)患者為研究對(duì)象,通過(guò)文獻(xiàn)查閱法,收集國(guó)內(nèi)外醫(yī)事法相關(guān)文獻(xiàn),確定醫(yī)事法研究?jī)?nèi)容；通過(guò)專家咨詢法,初步確定問(wèn)卷基本信息和醫(yī)事法知識(shí)問(wèn)題；通過(guò)問(wèn)卷調(diào)查法和隨機(jī)訪談,收集醫(yī)患雙方醫(yī)事法知識(shí)知曉數(shù)據(jù)；采取數(shù)據(jù)雙輸錄入的方式,嚴(yán)格控制數(shù)據(jù)錄取的正確性和有效性；采用Cronbach's α系數(shù)法,對(duì)醫(yī)事法指標(biāo)進(jìn)行篩選并對(duì)調(diào)查結(jié)果進(jìn)行評(píng)價(jià),最后通過(guò)EpiDate3.1軟件進(jìn)行錄入和統(tǒng)計(jì),采用SPSS19.0進(jìn)行數(shù)據(jù)分析；最后分析醫(yī)療糾紛典型案例,說(shuō)明提高醫(yī)事法知識(shí)知曉度的重要性。結(jié)果：1、醫(yī)護(hù)人員對(duì)醫(yī)事法知識(shí)的知曉比較理想,法律文化素養(yǎng)比較高,也很注重醫(yī)事法知識(shí)的培養(yǎng)。其中,基礎(chǔ)知識(shí)的知曉比較好,醫(yī)療過(guò)程中關(guān)注權(quán)利知識(shí),知曉率86.67%；義務(wù)知識(shí)知曉比較不好,知曉率80.12%；專業(yè)知識(shí)知曉也較不理想,最具風(fēng)險(xiǎn)性醫(yī)療行為的選擇,知曉率61.67%；感受知識(shí)的知曉情況比較到位,人身安全受保護(hù)程度知曉率87.98%；法律實(shí)施效果比較滿意,知曉率91.52%；行為知識(shí)知曉比較到位,對(duì)職業(yè)醫(yī)鬧選擇方式比較正確,知曉率90.83%。2、就醫(yī)患者對(duì)醫(yī)事法知識(shí)的知曉總體情況比較好,多方位重視醫(yī)事法知識(shí)的教育,對(duì)醫(yī)事法文化有客觀認(rèn)識(shí)。其中,基礎(chǔ)知識(shí)知曉比較理想,知曉權(quán)利的情況好于知曉義務(wù),權(quán)利內(nèi)容知曉率80.33%,義務(wù)內(nèi)容知曉不理想,知曉率74.83%；專業(yè)知識(shí)的知曉比較滿意,就醫(yī)療賠償費(fèi)用的內(nèi)容而言,知曉率94.83%；知情同意權(quán)內(nèi)容知曉不理想,知曉率84.83%；對(duì)感受知識(shí)知曉總體感受合理,比較認(rèn)可損害賠償范圍和標(biāo)準(zhǔn),知曉率96.55%；行為知識(shí)的知曉比較到位,醫(yī)療糾紛中行為方式的選擇比較合理,知曉率96.46%；法院未支持醫(yī)療糾紛中訴訟請(qǐng)求的選擇方式比較科學(xué),知曉率88.33%。3、通過(guò)典型案例得知：醫(yī)患雙方對(duì)知情同意權(quán)理解不到位,容易忽視醫(yī)療行為和損害結(jié)果之間的因果關(guān)系,但比較關(guān)注法律責(zé)任的承擔(dān)和舉證責(zé)任。結(jié)論：對(duì)比醫(yī)患雙方醫(yī)事法知識(shí)的知曉情情況,發(fā)現(xiàn)雙方對(duì)權(quán)利和義務(wù)重視程度較低,知情同意權(quán)理解較片面,舉證責(zé)任側(cè)重點(diǎn)比較模糊,醫(yī)療保障體系較不健全,醫(yī)療保險(xiǎn)覆蓋較少；同時(shí),醫(yī)療糾紛解決途徑比較單教育宣傳力度較低,非訴訟程序啟動(dòng)較困難,對(duì)于法律實(shí)施效果注意度較低；因此,提高醫(yī)患雙方醫(yī)事法知識(shí)水平,健全醫(yī)事法制度體系,加快程序立法工作步伐,多方位宣傳醫(yī)事法實(shí)施效果；加強(qiáng)醫(yī)事法人才的培養(yǎng),健全醫(yī)療糾紛解決機(jī)制,加強(qiáng)對(duì)人民調(diào)解制度的支持,不斷創(chuàng)新醫(yī)事法文化建設(shè)。
[Abstract]:Objective: to describe and discuss the status of doctors and patients' knowledge about medical law knowledge in Urumqi area by questionnaire and random interview, analyze the existing problems and causes, explore the importance of improving the level of medical law knowledge of both doctors and patients, and discuss the relationship between doctors and patients by the idea of medical law. Influence, constantly improve the medical law and culture of doctors and patients, and put forward pertinent suggestions and measures. Methods: taking part of the medical staff and medical patients in six hospitals in Urumqi as the research object, through the literature review, collect the related literature of medical law at home and abroad, confirm the content of medical law research, through the expert consultation method, preliminary To determine the basic information of the questionnaire and the knowledge of medical law. Through the questionnaire survey and random interview, we collect the knowledge of the knowledge of doctors and patients, and take the method of data double input to strictly control the correctness and effectiveness of the data admission. The Cronbach's alpha coefficient method is used to screen the medical law indexes and to investigate the results of the investigation. In the end, the EpiDate3.1 software was used to record and statistics, and the SPSS19.0 was used to analyze the data. Finally, the typical cases of medical disputes were analyzed, and the importance of improving the knowledge of medical law knowledge was analyzed. Results: 1, the knowledge of medical staff was ideal, the legal literacy was higher, and the medical law was well known. Among them, the knowledge of basic knowledge is better. In the medical process, the knowledge of rights is concerned, the awareness rate is 86.67%, the knowledge of compulsory knowledge is not good, the awareness rate is 80.12%, the knowledge of professional knowledge is not ideal, the choice of the most risky medical behavior, the awareness rate is 61.67%, the awareness of the knowledge is in place, and the personal safety is guaranteed. The awareness rate of nursing degree was 87.98%, the effect of law enforcement was satisfactory, the awareness rate was 91.52%, the knowledge of behavioral knowledge was in place, the choice of occupational medical noise was more correct, the awareness rate was 90.83%.2, the knowledge of medical law knowledge in medical patients was better, the education of medical law knowledge was emphasized in many directions, and the culture of medical law was objectively recognized. Among them, the knowledge of basic knowledge is ideal, the situation of knowing the right is better than the knowing obligation, the awareness rate of the right content is 80.33%, the content of the compulsory content is not ideal, the awareness rate is 74.83%, the knowledge of professional knowledge is satisfactory, the awareness rate of the medical compensation cost is 94.83%, the content of the right of informed consent is not ideal, and the awareness rate is 84.83%. The overall feeling of knowledge awareness is reasonable, the scope and standard of damage compensation are recognized, the awareness rate is 96.55%, the awareness of behavior knowledge is in place, the choice of behavior mode in medical disputes is reasonable and the awareness rate is 96.46%; the choice of the litigation request in the medical dispute is relatively scientific and the awareness rate is 88.33%.3, through typical cases. The case learns: the understanding of the right to informed consent is not in place between the doctors and patients, and it is easy to ignore the causal relationship between the medical behavior and the result of the damage, but it pays more attention to the responsibility of the legal responsibility and the burden of proof. To understand more unilaterally, the emphasis on the burden of proof is vague, the medical security system is not perfect, and the coverage of medical insurance is less; at the same time, the solution of medical disputes is relatively low, the non litigation procedure is difficult to start, and the attention to the effect of the legal implementation is low; therefore, improve the knowledge level of the medical law of the doctors and patients, and therefore improve the knowledge level of the medical law of the two sides of the doctor and the patient and sound the sound level of knowledge, sound and sound. The system of medical legal system, speed up the pace of procedural legislation, promote the implementation of medical law in many directions, strengthen the training of medical personnel, improve the medical dispute settlement mechanism, strengthen the support for the people's mediation system, and constantly innovate the cultural construction of medical law.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：D922.16

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