中华医学教育杂志

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (11): 876-878.DOI: 10.3760/cma.j.cn115259-20191202-01041

• 人文素质教育 • 上一篇    下一篇

上海交通大学医学院学生道德两难问题选择倾向的调查分析

朱晓燕1, 沈李1, 施莉莉2, 蔡雨阳1   

  1. 1上海交通大学公共卫生学院社会医学与卫生事业管理系 200025;
    2上海交通大学医学院附属新华医院办公室 200093
  • 收稿日期:2019-12-02 出版日期:2020-11-01 发布日期:2020-12-08
  • 通讯作者: 蔡雨阳, Email: caiyuyang@sjtu.edu.cn, 电话: 021-776495
  • 基金资助:
    上海交通大学医学院医学教育“课程思政”专项课题(2018005)

Investigation on the tendency of moral dilemma for medical students in Shanghai Jiao Tong University

Zhu Xiaoyan1, Shen Li1, Shi Lili2, Cai Yuyang1   

  1. 1Department of Social Medicine and Health Management, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China;
    2Department of Dean's Office, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2019-12-02 Online:2020-11-01 Published:2020-12-08
  • Contact: Cai Yuyang, Email: caiyuyang@sjtu.edu.cn, Tel: 021-776495
  • Supported by:
    Curriculum Ideological and Political Special Project of Medical Education in Medical College of Shanghai Jiao Tong University(2018005)

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摘要： 目的 研究上海交通大学医学院学生在面临道德两难问题时的选择倾向。方法 分别设计急诊室情境和“黄牛主题”情境下的道德两难问题,于2019年6月对上海交通大学医学院2017级和2018级医学类专业506名本科生进行问卷调查和统计分析。结果 在急诊室情境下,有60.5%(293/484)的学生选择先救治重伤患者,倾向道义论原则;有38.0%(184/484)的学生选择救治中度受伤患者,倾向最大幸福原则。在“黄牛主题”情境下,89.3%(432/484)的学生认为金钱不应当介入医疗资源的正当合理分配。结论 在道德两难问题的选择上学生倾向道义论原则,大部分学生认为市场经济活动不能排挤和取代道德。

关键词: 道德两难, 医学生, 调查

Abstract: Objective To study the choice tendency of medical students in Shanghai Jiao Tong University when facing moral dilemma. Methods The choice of moral dilemma was designed in the emergency room situation and the “theme of scalpers” situation. In June 2019, a survey was conducted among 506 medical undergraduates of grade 2017 and grade 2018 from Shanghai Jiao Tong University Medical College. Results In the emergency room situation, 60.5% (293/484) of the students preferred to treat the seriously injured patients and the deontological principle; 38.0%(184/484) of the students chose to treat the moderately injured patients and preferred the principle of maximum happiness. In the “theme of scalpers” situation, 89.3% (432/484) of the students thought that money should not be involved in the proper and reasonable distribution of medical resources. Conclusions Students tend to the deontological principle, and most of them think that market activities can not exclude and replace morality.

Key words: Moral dilemmas, Medical students, Investigation

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