中国医学伦理学2019，Vol.32Issue(3)：363-366,4.DOI:10.12026/j.issn.1001-8565.2019.03.18
临床诊疗中自费医疗费用知情告知履行情况的调查与分析
Investigation and Analysis on the Implementation of Informed Consent of Self-expensed Medical Expenses in Clinical Diagnosis and Treatment
摘要
Abstract
Objective: To investigate and analyze the performance of informed consent of self-expense medical expenses by medical staff. Methods: By using stratified random method, a sample of 480 medical records of medical insurance patients was selected from 40 wards of a third class A hospital in Zhejiang province in 2016. Combined with semi-open questionnaire, the performance of medical staff was investigated to do informed consent of self-expense medical expenses. Results: In general, the rate of informed consent was low, and only the rate of informing bed fee was over 70％. Medical staff thought that the effective performance of informed consent was affected by many factors, such as subjective and objective factors. Conclusion: There are still some problems in the performance of informed consent of self-expense medical expenses. It is necessary to take multi-party linkage and multi-measures interventions to improve the rate of informed consent.关键词
医护人员/医疗费用/知情告知/医患关系Key words
Medical Staff/Self-expense Medical Expense/Informed Consent/Doctor-patient Relationship分类
医药卫生引用本文复制引用
朱佳英,任晋文,莫春霞,钟建苗,苏奥南..临床诊疗中自费医疗费用知情告知履行情况的调查与分析[J].中国医学伦理学,2019,32(3):363-366,4.基金项目
浙江省软科学研究计划"浙江省医保支付方式改革下的医院决策支持系统的建设研究"(2017C35039) （2017C35039）
