患者就医伦理责任研究进展

Research Progress of Patients'Ethical Responsibility for Seeking Medical Treatment

基于健康中国建设中提升患者个人健康伦理责任的必然要求,和谐医患关系构建中强调患者尊医伦理责任的迫切要求,提高患者公共健康伦理责任的需求等背景,研究患者就医伦理责任具有重要的现实意义。通过梳理国内外患者伦理责任研究文献,将患者就医伦理责任归纳为守护自身生命健康的责任、尊重理解医务人员的责任、维护其他患者及社会公共利益的责任、理性接受诊疗效果的责任、遵守相关医疗法律法规和医院规章制度的责任等方面。目前国内外对患者就医伦理责任的研究局限性主要包括理论体系尚未完善、实证研究尚且不足、患者就医伦理责任教育的实践与转化路径有待构建等,期望为后续研究中完善患者就医伦理责任理论体系,探索责任教育与实践路径,提高患者就医责任认知等提供借鉴。

Based on the background of the inevitable requirements of improving patients'personal health ethical responsibility in the construction of a healthy China,the urgent requirement of emphasizing patients'ethical responsibility for respecting doctors in the construction of a harmonious doctor-patient relationship,and the need to improve patients'public health ethical responsibility,it is of great practical significance to study patients'ethical responsibility for seeking medical treatment.By combing the papers of patients'ethical responsibility at home and abroad,the ethical responsibility of patients for seeking medical treatment was summarized as the responsibility to protect their own life and health,respect and understand medical staff,safeguard the interests of other patients and social public,rationally accept the effect of diagnosis and treatment,and respect and abide by relevant medical laws and regulations and hospital rules and regulations.At present,the limitations of domestic and foreign research on patients'ethical responsibility for seeking medical treatment mainly include the theoretical system is not yet perfect,the empirical research is still insufficient,and the practice and transformation path of patients'ethical responsibility education for seeking medical treatment need to be constructed,and so on.It is expected to provide useful reference for the follow-up research to improve the theoretical system of patients'medical ethical responsibility,explore responsibility education and practice paths,and improve patients'awareness of medical responsibility.