新型冠状病毒肺炎疫情前后临床医学生医患关系认知及从业意愿的调查和分析

doi:10.3760/cma.j.cn115259-20220920-01202

中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (10): 721-724.DOI: 10.3760/cma.j.cn115259-20220920-01202

• 医学教育管理 • 下一篇

新型冠状病毒肺炎疫情前后临床医学生医患关系认知及从业意愿的调查和分析

曹译尹, 张琳, 周瑾, 高蕾

哈尔滨医科大学卫生管理学院卫生管理教研室,哈尔滨 150081

收稿日期:2022-09-20 出版日期:2023-10-01 发布日期:2023-10-07
通讯作者: 高蕾, Email: hydgaolei@163.com
基金资助:
国家自然科学基金项目(71904036)

Investigation and analysis on perceptions of doctor-patient relationship and willingness to engage in medical work among medical students before and after the outbreak of COVID-19

Cao Yiyin, Zhang Lin, Zhou Jin, Gao Lei

Department of Health Management, School of Health Management, Harbin Medical University, Harbin 150081, China

Received:2022-09-20 Online:2023-10-01 Published:2023-10-07
Contact: Gao Lei, Email: hydgaolei@163.com
Supported by:
National Natural Science Foundation of China(71904036)

摘要/Abstract

摘要： 目的分析新型冠状病毒肺炎疫情(简称疫情)发生前后临床医学生对医患关系认知及从业意愿的变化,为医学教育工作者提供参考。方法采用问卷调查方法。在疫情发生前后(2019年3至6月、2021年11月至2022年4月)通过整群抽样方法对黑龙江省某医科大学在校临床医学生(疫情前405名,疫情后120名)进行调查,应用倾向性评分匹配法平衡疫情前和疫情后两组医学生(疫情前后各104名)基线特征,采用卡方检验分析其医患关系认知及从业意愿差异。结果经倾向性评分匹配法后,疫情前后医学生在性别、临床实习经历、家中是否有医务工作者、是否曾目睹医院暴力、是否曾经历医院暴力的差异均无统计学意义[均P＞0.05。如:疫情前后女性人数分别为68名(65.4%)和66名(63.5%),P=0.772]。疫情后医学生对医患关系积极认知比例较疫情前增加[ 18人(17.3%)比5人(4.8%)],疫情后医学生从业意愿较疫情前增强[102人(98.1%)比89人(85.6%)],差异均具有统计学意义(均P＜0.05)。结论疫情发生后,医学生对医患关系认知及从业意愿均呈积极态势,建议医学教育工作者因势利导,积极探索多种教育方式进一步予以引导和强化。

关键词: 学生,医科, 新型冠状病毒肺炎疫情, 医患关系认知, 从业意愿, 倾向性评分匹配法

Abstract: Objective To analyze the changes in medical students' perceptions of the doctor-patient relationship and willingness to engage in medical work before and after the COVID-19 outbreak, providing reference for medical educators. Methods Using a questionnaire survey method, a cluster sampling survey was conducted on medical students (405 before the COVID-19, 120 after the COVID-19) at a medical university in Heilongjiang Province before and after the outbreak of the COVID-19 (March to June 2019, November 2021 to April 2022). The propensity score matching method was used to balance the baseline characteristics of two groups of medical students (104 before and after the COVID-19). Using chi square test to analyze the differences in their perceptions of doctor-patient relationship and willingness to engage in medical work before and after the COVID-19. Results After using the propensity score matching method, there was no statistically significant difference in gender, grade, major, clinical internship experience, whether or not had witnessed or experienced hospital violence before and after the COVID-19[all P>0.05. for example, the number of female students before and after the COVID-19 was 68 (65.4%) and 66 (63.5%), P=0.772]. After the epidemic, the proportion of medical students who had a positive understanding of doctor-patient relationships increased compared with that before the epidemic [18 (17.3%) vs.5 (4.8%)], the willingness of medical students to work increased compared with that before the epidemic [102 (98.1%) vs. 89 (85.6%)], and the differences were statistically significant (all P<0.05). Conclusions After the outbreak of the COVID-19, medical students have shown a positive trend in their perceptions of doctor-patient relationships and their willingness to engage in medical work. It is recommended that medical educators guide and strengthen their understanding by actively exploring various educational methods according to the situation.

Key words: Students, medical, COVID-19, Cognition of doctor-patient relationship, Willingness to engage in medical work, Propensity score matching method

中图分类号:

曹译尹, 张琳, 周瑾, 高蕾. 新型冠状病毒肺炎疫情前后临床医学生医患关系认知及从业意愿的调查和分析[J]. 中华医学教育杂志, 2023, 43(10): 721-724.

Cao Yiyin, Zhang Lin, Zhou Jin, Gao Lei. Investigation and analysis on perceptions of doctor-patient relationship and willingness to engage in medical work among medical students before and after the outbreak of COVID-19[J]. Chinese Journal of Medical Education, 2023, 43(10): 721-724.

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新型冠状病毒肺炎疫情前后临床医学生医患关系认知及从业意愿的调查和分析

Investigation and analysis on perceptions of doctor-patient relationship and willingness to engage in medical work among medical students before and after the outbreak of COVID-19

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