Assessment of Doctors' Knowledge and Attitudes Towards Confidentiality in Hospital Care
Assessment of Doctors' Knowledge and Attitudes Towards Confidentiality in Hospital Care
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DOI：
10.1007/s11948-018-0078-5
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发表时间：
2019-10-01
影响因子：
3.7
通讯作者：
Girela-Lopez, Eloy
中科院分区：
文献类型：
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作者：
Beltran-Aroca, Cristina M.;Labella, Fernando;Girela-Lopez, Eloy
医生的保密义务建立在尊重病人的隐私和亲密关系以及尊重这两项权利的重要性的基础上，从而在医生和病人之间建立信任和合作的关系。本研究的主要目的是通过问卷调查的方式，分析某三级医院不同临床管理单元医生的培训、行为和意见与患者数据保密有关的方面。本研究旨在界定问题，并确定这些专业人员的意见是否与在同一中心进行的先前工作中观察到的意见相一致。在收集的200份问卷中，62.5%来自咨询师，其余来自住院医师（37.5%），平均专业执业时间为14.4 +/- 12.5年。答复者指出，参考医院经常出现违反保密规定的情况（74%）。他们对与保密有关的情况的态度和行为部分的平均得分略低于他们的医学知识；这些分数在咨询医生和住院医生之间以及极端年龄组（= 51岁）和专业实践年数之间存在显著差异，因此在经验较少的年轻医生中一致发现更多的不充分态度。最后，答复者回答说，对医生进行保健法律和道德方面的培训是医院在保密做法方面可以采取的最重要措施。
The physician's duty of confidentiality is based on the observance of the patient's privacy and intimacy and on the importance of respecting both of these rights, thus creating a relationship of confidence and collaboration between doctor and patient. The main objective of this work consists of analyzing the aspects that are related to the confidentiality of patients' data with respect to the training, conduct and opinions of doctors from different Clinical Management Units of a third-level hospital via a questionnaire. The present study aimed to define the problem and determine whether the opinions of these professionals correspond to those observed in a previous work conducted at the same center. Of the 200 questionnaires that were collected, 62.5% were from consultants and the rest were from residents (37.5%) with an average of 14.4 +/- 12.5 years in professional practice. The respondents noted habitual situations in which confidentiality was breached in the reference hospital (74%). The section on their attitudes and behaviors towards situations related to confidentiality showed a slightly lower average score than that of their medical knowledge; significant differences in these scores were observed between the consultants and residents as well as between the extreme age groups (= 51 years) and years of professional practice, thus more inadequate attitudes were consistently noted in younger doctors who had fewer years of experience. Finally, the respondents answered that the training of doctors in the aspects of healthcare law and ethics was the most important measure that the hospital could adopt regarding confidentiality practices.