中国医学伦理学2025，Vol.38Issue(2)：248-253,6.DOI:10.12026/j.issn.1001-8565.2025.02.16
肿瘤患者不良医疗行为现状及对策研究
Research on the current situation and countermeasures of adverse medical behaviors in oncology patients
摘要
Abstract
Objective:To explore the current situation of adverse medical behaviors in oncology patients and propose corresponding countermeasures to reduce the incidence of adverse medical behaviors in oncology patients,standardize their diagnosis and treatment order,and ensure the quality and safety of medical care.Methods:Using the purposive sampling method,16 oncology patients and caregivers from 3 communities in a city were selected for semi-structured and in-depth qualitative interviews from October to December 2023.Nvivo 12.0 software was used for data transcription and thematic analysis.Results:Three themes were extracted.First,the adverse medical behaviors in oncology patients included overtreatment,non-standardized medication,and inaccurate recommendations of exorbitant examination items.Second,the influencing factors of adverse medical behaviors in oncology patients included limitations of the medical system and policy issues,difficulty in defending the rights of patients in a vulnerable position,as well as inadequacy of related ethical supervision and laws and regulations.Third,the countermeasures for adverse medical behaviours in cancer patients mainly encompassed improving the construction of medical systems and policies,optimizing the allocation of medical resources,enhancing the medical ethical literacy of medical personnel,standardizing the professional behaviour of medical personnel,strengthening medical ethical education for patients and enhancing their awareness of the protection of rights and interests,as well as strengthening ethical supervision and evaluation.Conclusion:The adverse medical behaviors in oncology patients are affected by tripartite factors,including medical staff,patients,and the system.The government,medical institutions,medical personnel,and patients should all adopt targeted countermeasures to deal with adverse medical behaviours,thus regulating diagnosis and treatment orders and ensuring the quality and safety of medical care.关键词
肿瘤患者/不良医疗行为/医疗质量/医学伦理Key words
oncology patient/adverse medical behaviour/medical quality/medical ethics分类
医药卫生引用本文复制引用
李宁,张维,张倩..肿瘤患者不良医疗行为现状及对策研究[J].中国医学伦理学,2025,38(2):248-253,6.基金项目
陕西省重点研发计划"基于能力-机会-动机-行为模型的结直肠癌辅助化疗患者'互联网+'衰弱管理模式的构建与实证研究"(S2024-YF-YBSF-1801) （S2024-YF-YBSF-1801）
