从陕西省某县级医院患者医患关系认知现状反思基层医学人才的培养

Reflection on the Cultivating of Grassroots Medical Stuff from the Perspective of Doctor-patient Relationship Cognition in A County-Level Hospital in Shaanxi Province

目的通过调查某县级医院患者的医患认知状况来反思基层医学人才的培养。方法运用SPSS17.0软件,通过秩和检验、描述性分析对陕西省某县级医院180名患者的问卷进行分析。结果不同年龄、职业、学历的患者对当前医患关系的评价无统计学意义(P>0.05)。82.2%的患者认为医患关系和谐或较和谐。患者虽对医生的信任度不高,但存在一定的认同感,对医生的专业技能、沟通能力和职业素养提出了期望和要求。结论地方医学院校应结合患者的反馈意见,思考医学教育理念,在学生专业技能培养中积极发挥医校协同模式和加强医学生的见习、实习管理,与之并重的还需培养学生服务基层的责任感和职业精神。

Objective： To reflect the training of basic - level medical stuff by investigating the doctor - patient cognition status of patients in a county -level hospital. Methods： The questionnaire of 180 patients collected from a county hospital in Shaanxi province was analyzed by Rank sum test and Descriptive analysis with SPSS17.0. Re- sults： There were no statistically significant differences in the evaluation of current doctor - patient relationship from patients of different ages, occupations and degrees of education （P 〉 0.05 ）. 82.2% of the patients beheved that the doctor - patient relationship is harmonious or somewhat harmonious. Moreo,~er although the patient＇s trust in doctors is not high, there is a certain sense of recognition ; and they put forward some expectation and requirements on doctor＇s professional skills, communication skills and professionalism. Conclusion： Considering the patients＇ feedback, local medical colleges and universities should reflect medical education ideas, play an active synergy model in the training of students＇ professional skills. In the meantime, they should strengthen the medical intern- ship management, while paying equal attention to enhance students＇ responsibility and professionalism to serve grassroots.