Physicians' Knowledge, Perceptions, and Attitudes Related to Patient Confidentiality and Data Sharing.
Physicians' Knowledge, Perceptions, and Attitudes Related to Patient Confidentiality and Data Sharing.
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医生的知识，感知和态度与患者的保密和数据共享。
DOI：
10.2147/ijgm.s301800
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发表时间：
2021
影响因子：
2.3
通讯作者：
Alzoubi KH
中科院分区：
文献类型：
--
作者：
Karasneh R;Al-Mistarehi AH;Al-Azzam S;Abuhammad S;Muflih SM;Hawamdeh S;Alzoubi KH
保护患者隐私是成功提供医疗保健的一项基本做法。本研究调查了医生的知识和态度有关的数据共享和病人的保密性。这是一项描述性的、基于数据的研究。通过电子邮件邀请医生完成研究调查。调查包括三个部分，涉及知识、态度和人口特征。共有221名医生完成了这项研究调查，他们具有不同的经验水平和专业领域。家庭医学专业医生每年都会遇到伦理困境，而内科病房的医生每天都会遇到伦理困境。知识的平均得分为7.34（满分14分; SD = 2.92），与对保护数据机密性的态度呈正相关（r2 = 0.282，p <0.001）。本科课程是伦理问题相关知识的主要来源（167; 74.9%）。性别（B =-1.47，p = 0.001）、婚姻（B =-1.198，p = 0.021）和咨询来源（B =-0.248，p = 0.02）均被发现预测知识得分。同样，态度也受到经验（B = 0.279，p <0.001）、性别（B =-2.797，p = 0.002）、婚姻（B = 1.91，p = 0.02）和面临的伦理困境数量（B = 1.695，p <0.001）的预测。来自不同部门的医生被发现缺乏足够的知识，病人的保密性的许多方面。虽然一些医生的做法符合法律，但其他做法被确定为违反病人保密规定。
The protection of patient confidentiality is an essential practice for the successful provision of healthcare. This study examines physicians’ knowledge and attitudes related to data sharing and patient confidentiality. This is a descriptive, questionnaire-based study. Physicians were invited via e-mail to complete the study survey. The survey comprised three sections related to knowledge, attitudes, and demographic characteristics. A total of 221 physicians, with varying levels of experience and from a range of specialty areas, completed the study survey. Ethical dilemmas were encountered annually by physicians specialized in family medicine and daily by physicians in internal medicine wards more often than those in other departments. The mean score for knowledge was 7.34 (out of 14; SD=2.92) and had a positive correlation with attitudes towards the protection of data confidentiality (r2=0.282, p<0.001). Undergraduate courses were the main source of knowledge related to ethical issues (167; 74.9%). Sex (B=-1.47, p=0.001), marriage (B=-1.198, p=0.021), and source of consultation (B=-.248, p=0.02) were all found to predict knowledge scores. Likewise, attitudes were predicted by experience (B= 0.279, p<0.001), sex (B= -2.797, p=0.002), marriage (B=1.91, p=0.02), and number of ethical dilemmas faced (B=1.695, p <0.001). Physicians from different departments were found to lack sufficient knowledge about many aspects of patient confidentiality. While some of the physicians’ practices complied with the law, other practices were identified as patient confidentiality breaches.