医生职业安全调查与风险防控机制研究——以北京中青年医务工作者为例

Investigation on Doctors Occupational Safety and Risk Prevention and Control Mechanism——Taking Beijing Middle-aged and Young Medical Workers as Example

目的合理界定医生职业风险内涵,科学判断医生职业风险事实,寻求医生职业风险防范和化解的长效机制,维护医生的身心安全与合法权益。方法以医患关系的发生为研究背景,采取问卷调查法,分析医患关系与医生职业风险的相关性,在此基础上以青年医务工作者为例,实证调研医生职业风险存在状况及现实原因。结果医患关系紧张带来的职业焦虑与不安,医生职业倦怠与危害,医疗环境复杂无法有效化解医生职业安全危机,制度安排与防控机制不合理诱发职业危机。结论政府应加强职业风险管理及防控的机构设立与制度设计,医院要加强职业风险管理与防控体系建设,医生应提升职业风险防控意识与医患沟通能力,社会要加强职业风险管理与防控的环境整治。

Objective：To define doctors professional risk connotation, the scientific judgment doctors profes- sional risk fact, seek medical professional risk guard against and dissolve the long- term mechanism, maintaining safety and legitimate rights and interests of the doctor＇s body and mind. Methods：Using doctor- patient relation- ship as the research background, adopts the questionnaire survey, through the survey data analysis of the correla- tion between the doctor - patient relationship and the doctor professional risk, on the basis of the young workers, for example, the empirical research doctors professional risk existing conditions and the reality. Results：The doctor- patient relationship nervous career anxiety and unease, doctor of job burnout and the harm done by the profession itself, complicated medical environment cannot effectively solve the doctor occupational safety crisis, institutional arrangements and the prevention and control mechanism is not reasonable career crisis. Conclusion：The govern- ment should strengthen the professional risk management system design and the prevention and control institutions and hospitals to strengthen the construction of professional risk management and prevention and control system, the doctor should promote occupational consciousness of risk prevention and control and doctor -patient communication ability, the society should strengthen professional risk management and the prevention and control of environmental regulation.