当前医患关系背景下医学生法治教育现状调查

Investigation on the law education in medical students under the background of the current doctor-patient relationship

目的:调查当前医患关系背景下医学生法律教育、法治意识的现状,分析其影响因素并提出合理建议。方法:采用整群抽样与分层抽样方法,对安徽医科大学、皖南医学院、蚌埠医学院和安徽中医药大学四所安徽省本科医学院校共计420名在校大学生,采用自行设计的调查问卷进行调查。结果:共计发放420份调查问卷,收回有效问卷406份,有效回收率为96. 67%。调查结果显示,当前医学生对法律基础知识掌握程度不够,"我国的立法机关是什么?"正确率仅为39. 55%(159/402),关注立法等法律热点事件者占50. 49%(205/406);其对基本法律法规的主要学习途径是"电视、广播、报纸、网络等媒体了解"(67. 73%)和"思想道德与法律基础等公共课程"(71. 43%);"希望更多地了解哪些方面的法律知识"这一问题中,"行政法类"占比最高(55. 91%)。临床医学专业学生对"医生受贿刑罚""处方与非处方""医疗事故技术鉴定""医疗事故解决"法律法规的了解程度均明显高于非临床医学专业(P <0. 01),高年级医学生对以上方面法律规范的了解程度均明显高于低年级学生(P <0. 01);而不同专业、年级医学生对"执业医师资格"法律法规的了解程度评分差异均无统计学意义(P> 0. 05)。针对学校的法治教育工作,59. 11%的学生认为学校管理层未能更好地重视此项工作;超过一半的医学生认为在课程中仅学到很少的法律知识,远远不足以处理医患矛盾;而85. 72%的在校医学生都认为在本科学习期间学习一些法律知识是极其重要的。结论:在当前医患关系背景下,医学生的法治教育工作的重要性日益凸显,需要多方协调来提高医学生的法治意识。

Objective: To investigate the current situation of medical student’ s law education and legal awareness under the background of the current doctor-patient relationship,analyze its influencing factors,and put forward the reasonable suggestion.Methods: The cluster sampling and stratified sampling were employed,420 medical students from Anhui Medical University,Wannan Medical College,Bengbu Medical college and Anhui University of Chinese Medicine were investigated using the selfdesigned questionnaire. Results: A total of 420 questionnaires were issued,and 406 valid questionnaires were regained,and the effective regaining rate was 96. 67%. The investigation results showed that the mastering legal basic knowled ge in medical students was insufficient,the right rate of " knowing our country’ s legislature" was 39. 55%( 159/402),and the students concerning with legislation and other legal hot issues accounted for 50. 49%( 205/406). The main ways to learn the basic knowledge of laws and regulations in medical students were " TV,radio,newspapers,network and other media"( 67. 73%) and " ideological morality and legal foundation public courses"( 71. 43%). The administrative law was the legal knowledge that students were the most eager to understand( 55. 91%). The understanding degrees on the " doctor’s bribery penalty"," identification of medical incident" and"medical accident resolution" in clinical medicine students were significantly higher than that in non-clinical medical students( P < 0. 01),and the understanding degree on the " doctor’ s bribery penalty"," identification of medical incident" and " medical accident resolution" in senior medical students were significantly higher than that in lower-grade medical students( P < 0. 01). There was no statistical significance in the score of understanding degree of different majors and grades medical students on " practicing physician qualification laws and regulations"( P > 0. 05). For law education work,59. 11% medical students thought that school management did not attach importance to it. More than half of students thought that they learned little legal knowledge from course,which did not meet the need of handling the doctor-patient conflict,and 85. 72% medical students thought that learning some law knowledge was vitally important during undergraduate study.Conclusions: Under the background of the current doctor-patient relationship,the law education in medical student is becoming more and more important. It requires the coordination of various aspects to improve the legal consciousness of medical students.