目的 調(diào)查中國(guó)醫(yī)生對(duì)患者參與治療決策的困難與態(tài)度。
方法 采用自擬調(diào)查表對(duì)來(lái)自中國(guó)25省市、5所大學(xué)醫(yī)院、20所醫(yī)院的1 088名醫(yī)生（70%為內(nèi)科醫(yī)生，22%為外科醫(yī)生，8%為婦科醫(yī)生）進(jìn)行調(diào)查。
結(jié)果 共有780名醫(yī)生返回調(diào)查表，僅有488名完成調(diào)查表。27%的困難為醫(yī)生缺乏時(shí)間，15%為向患者表達(dá)不確定性，13%為患者缺乏醫(yī)學(xué)知識(shí)難以交流，12%為捉摸患者的偏好，9%為與患者建立起穩(wěn)定關(guān)系。
結(jié)論 患者增加參與治療決策方面的知識(shí)可促使醫(yī)生端正對(duì)患者參與治療決策的態(tài)度
引用本文： 張鳴明,李 靜,張小利,劉雪梅,王 莉,何 俐,Andrew Herxheimer. 中國(guó)醫(yī)生對(duì)患者參與醫(yī)療決策的理解的問(wèn)卷調(diào)查. 中國(guó)循證醫(yī)學(xué)雜志, 2006, 06(11): 783-785. doi: 復(fù)制
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- 1. Guyatt G, Montori V, Devereaux PJ, et al. Patients at the center: in our practice, and in our use of language. ACP J Club, 2004; 140(1): A11–2.
- 2. Zhao MJ. The important reason of doctor-patient relationship tense is highly medical fee. Medicine and Philosophy, 2005; 26 (3): 1–2.
- 3. Gafini A, Charles C, Whelan T. The physician-patient encounter: the physician as a perfect agent for the patient versus the informed treatment decision-making model. Soc Sci Med, 1998; 47(3): 347–354.
- 4. Zhang MM, Liu XM, He L. Patient value and preference in evidence-based medicine. Chinese Journal of Evidence-Based Medicine, 2004; 10: 707–710.
- 5. Say RE, Thomson R. The importance of patient preferences in treatment decisions-challenges for doctors. BMJ, 2003; 327: 542–545.