Patients' silence towards the healthcare system after ethical transgressions by staff: associations with patient characteristics in a cross-sectional study among Swedish female patients.
Patients' silence towards the healthcare system after ethical transgressions by staff: associations with patient characteristics in a cross-sectional study among Swedish female patients.
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DOI：
10.1136/bmjopen-2012-001562
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发表时间：
2012
期刊：
影响因子：
2.9
通讯作者：
Swahnberg K
中科院分区：
文献类型：
--
作者：
Brüggemann AJ;Swahnberg K
确定哪些患者特征与卫生保健人员在经历虐待或道德上错误的违法行为后对卫生保健系统的沉默有关。利用卫生保健问卷中伦理原则的违反进行横断面问卷研究。瑞典南部的一家妇女诊所。选择标准为：连续来门诊就诊的女性患者，年龄≥18岁，能够说和理解瑞典语，并且有已知的地址。共有534名（60%）就诊过的妇女回答了问卷，其中293人被纳入本研究样本。受访者对医疗保健系统保持沉默的次数相对于受访者发言的次数。发现患者对医疗保健系统的沉默与年轻以及对患者权利的自我评估知识较低之间存在关联。在多变量模型中，这两个变量对患者沉默表现出独立的影响。没有发现与社会地位、出生国、健康状况或其他虐待有关。研究结果为设计干预措施提供了机会，以刺激患者畅所欲言，营造临床氛围，而责任在于医护人员；但是还需要更多的研究。
To identify which patient characteristics are associated with silence towards the healthcare system after experiences of abusive or ethically wrongful transgressive behaviour by healthcare staff. Cross-sectional questionnaire study using the Transgressions of Ethical Principles in Health Care Questionnaire. A women's clinic in the south of Sweden. Selection criteria were: consecutive female patients coming for an outpatient appointment, ≥18-year-old, with the ability to speak and understand the Swedish language, and a known address. Questionnaires were answered by 534 women (60%) who had visited the clinic, of which 293 were included in the present study sample. How many times the respondent remained silent towards the healthcare system relative to the number of times the respondent spoke up. Associations were found between patients’ silence towards the healthcare system and young age as well as lower self-rated knowledge of patient rights. Both variables showed independent effects on patients’ silence in a multivariate model. No associations were found with social status, country of birth, health or other abuse. The results offer opportunities for designing interventions to stimulate patients to speak up and open up the clinical climate, for which the responsibility lies in the hands of staff; but more research is needed.
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影响因子：
1.9
作者：
Bruggemann, Adrianus Jelmer;Wijma, Barbro;Swahnberg, Katarina
通讯作者：
Swahnberg, Katarina
影响因子：
4.2
作者：
Bruggemann, A. Jelmer;Wijma, Barbro;Swahnberg, Katarina
通讯作者：
Swahnberg, Katarina
影响因子：
3.3
作者：
Lee, Katherine B.;Vaishnavi, Sanjeev N.;Jeffe, Donna B.
通讯作者：
Jeffe, Donna B.
影响因子：
5.4
作者：
McCullough, Melissa
通讯作者：
McCullough, Melissa
影响因子：
2.1
作者：
Hsieh, Sophie Y.
通讯作者：
Hsieh, Sophie Y.