Understanding Physicians' Decision to Perform a Clinical Examination on an HIV Seropositive Patient
Understanding Physicians' Decision to Perform a Clinical Examination on an HIV Seropositive Patient
复制标题
了解医生对 HIV 血清阳性患者进行临床检查的决定
作者：
Gaston Godin;Richard Boyer;Bernard Duval;Christian Fortin;Denise Nadeau
本研究的主要目的是确定解释医生决定对HIV血清阳性患者进行临床（身体）检查的心理社会因素。879名医生完成了一份调查心理社会变量的问卷，这些变量来源于Ajzen12和Triandis27的理论。进行临床检查的平均意向相当积极（7分制为5.4分）。意向对所有变量的回归得到调整后的R2为0.499。在少数重要的预测因素中，到目前为止，最重要的是同行医生对临床检查表现的感知规范。结论是，针对医生群体的教育干预应侧重于医生在这类临床检查方面的社会角色和个人效能，而不是提供有关感染艾滋病毒的低风险的信息。
The main purpose of this study was to identify the psychosocial factors explaining a physician's decision to perform a clinical (physical) examination of an HIV seropositive patient. Eight hundred seventy-nine physicians completed a questionnaire investigating psychosocial variables derived from the theories of Ajzen12 and Triandis27. The mean intention to perform a clinical examination was quite positive (5.4 on a 7-point scale). The regression of intention on all variables yielded an adjusted R2 of .499. Among few significant predictors, by far the most important was the perceived norm among fellow physicians regarding performance of the clinical examination. It is concluded that educational interventions aimed at the physician population should focus on the social role and personal efficacy of physicians regarding this type of clinical examination rather than giving information concerning the low risk of contracting the HIV.