目的 了解大学生对我国目前医患关系的认知状况,发现医学生与非医学生间的认知差异,为大学教育形成良性的社会认知提供参考。方法 本研究采用问卷调查方法,对北京市12所高校在校生866人进行调查,数据采用SPSS 20.0软件进行描述性分析、因子分析和多因素logistic回归分析。结果 62.6%(542/866)的大学生认为目前的医患关系紧张,医学生认为医患关系紧张的比例高于非医学生。影响医学生和非医学生医患关系态度的因素不同。对于医学生来说,学习更多人文课程的学生对医患关系有更积极的评价,但认为医患关系紧张的原因是制度因素的学生对医患关系的评价更为消极。对于非医学生来说,年级越高、认为医患关系紧张的原因是医患互动因素的学生对医患关系的评价更为积极,但学习生命科学课程数量越多,认为医患关系紧张的原因是患方因素、制度因素和医患双方互动因素的学生对医患关系评价更为消极。结论 医学生负面的医患关系评价不利于未来的职业发展,应当加强对医学生的人文教育,帮助医学生建立更积极的社会态度。
Objective To understand the cognition of college students about the relationship between doctors and patients, especially gap between medical students and non-medical students and influential factors, to build more active social attitude during collage time.Methods The self-administered-questionnaire survey of 866 college students was conducted in 12 universities in Beijing. The study employed description, factorial analysis and Logistic analysis with SPSS 20.0.Results 62.6%(542/866) responders evaluate relationship of doctor-patient. Different factors influents two groups. Medical students with more human courses and non-regime evaluate more positive. Non-medical students with high grade, interactive factor, more life-science courses show more positive. There is a big difference between medical students and non-medical students on the relationship between doctors and patients, and there is a certain degree of “opposition” in their view. This opposition is due to their different positions.Conclusions Medical students evaluate relationship of medical-patient worse than non-medical students. Human education should be established to medical students so that more active social attitude could be built in the coming future.
[1] 张文娟, 郝艳华, 吴群红, 等.我国医患关系紧张的原因及对策[J]. 医学与社会,2014,27(4):44-46. DOI: 10.3870/YXYSH.2014.04.014.
Zhang WJ,Hao YH,Wu QH,et al.Reasons and countermeasures of the nervous doctor-patient relationship in China[J]. Medicine and Society,2014,27(4):44-46. DOI: 10.3870/YXYSH.2014.04.014.
[2] 张莉.我国公众社会态度的现状及其对社会稳定的影响[J]. 吉林省经济管理干部学院学报,2011,25(6):27-31.
Zhang L.The status of our public social attitudes and impact on social stability[J]. Journal of Jilin Province Economic Management Cadre College,2011,25(6):27-31.
[3] 张星.高职大学生良好的职业态度培养策略研究[J]. 成才之路,2016(31):16-18.
[4] 付瑶, 石淑宵, 李红, 等.某三级甲等医院不同人群对医生职业精神认知的调查研究[J]. 中华医学教育杂志,2016,36(3):376-380,424. DOI: 10.3760/cma.j.issn.1673-677X.2016.03.015.
Fu Y,Shi SX,Li H,et al.Investigation and research on different groups of people's perception on medical professionalism in one 3A hospital in Beijing[J]. Chin J Med Edu,2016,36(3):376-380,424. DOI: 10.3760/cma.j.issn.1673-677X.2016.03.015.
[5] 马俊红, 续岩, 王维民.医学类专业本科学生通识教育课程选修现状的分析与思考[J]. 中华医学教育杂志,2016,36(3):371-375. DOI: 10.3760/cma.j.issn.1673-677X.2016.03.014.
Ma JH, Xu Y, Wang WM.Analysis and thoughts on general education elective curriculums for medical students[J]. Chin J Med Edu,2016,36(3):371-375. DOI: 10.3760/cma.j.issn.1673-677X.2016.03.014.
[6] 姚娓, 陈蕾蕾, 刘勇, 等.医患关系现状及医患关系紧张原因分析——以大连市为例[J]. 中国社会医学杂志,2017,34(1):43-46. DOI: 10.3969/j.issn.1673-5625.2017.01.014.
Yao W, Chen LL, Liu Y, et al.Status of doctor-patient relationship and analysis of the tension reasons between doctors and patients[J]. Chinese Journal of Social Medicine,2017,34(1):43-46. DOI: 10.3969/j.issn.1673-5625.2017.01.014.
