医疗纠纷对医务人员诊疗行为的影响

The influence of medicine dispute on clinicians＇ diagnosis and treatment behavior

目的 研究医疗纠纷对临床医务人员诊疗行为的影响。方法 自行设计调查问卷，随机向不同等级医院发放调查问卷200份，采取不记名方式由医务人员自己填写，有效问卷148份，将结果输入SPSS软件进行t检验和多元逐步回归分析。结果 经历过医疗纠纷组的诊疗行为得分[（31．9167±3．51）分]低于没有经历过医疗纠纷组的得分[（33．75±3．49）分]（P〈0．05）；2组男性得分均低于女性，差异有显著性（P〈0．05）；性别、学历、医院级别等是医务人员诊疗行为的影响因素。结论 医疗纠纷对医务人员诊疗行为有严重负面影响，使其广泛实施不规范的诊疗行为。

Objective To study the influence of medicine dispute on clinicians＇ diagnosis and treatment behavior. Methods Investigation questionnaire was designed by author-self, and various level hospitals were received 200 investigated questionnaire in total. Clinicians filled in the questionnaire by the way of anonymity. Totally 148 valid questionnaires were collected, and then the results were input to the SPSS software for t test and multiple stepwise regression analysis. Results The clinicians＇ diagnosis and treatment behavior scores of the medicine dispute group were lower than the clinicians out of medicine dispute （ t = - 2. 733, P〈0.05 ） ;the scores of male were lower than that of the female in the two group, hading significant difference （ P 〈 0.05 ） ; the sex, education degree and hospital level were the influential factors on the clinicians＇ diagnosis and treatment behavior. Conclusions There was serious and negative influence of medicine dispute on clinicians＇ diagnosis and treatment behavior, making them actualizing the nonstandard diagnosis and treatment behavior.