■ 全 鹏刘瑞明②

医生权力现状和前景自我认知分析

■ 全 鹏①刘瑞明①②

医生权力 自我认知 医患权力

目的：调查医生对自身权力现状和前景的认知，为加强医患权力互动、构建和谐医患关系提供参考。方法：采用自行设计的调查问卷，以分层随机抽样方式，对广州市、东莞市6所医疗机构的医生进行调查，并运用SPSS 13.0 统计软件进行数据处理。结果：不同学历和职称的医生对医生权力的认知在重要性、来源、现状与前景等评分差异具有统计学意义（P＜0.05）；而工龄、性别、年薪评分差异不显著。结论：医生意识到了医患关系的重要性，也认知到加强医患互动的必要性，但重视度还不够，80%左右的医生对自身权力和医患权力互动的前景感到不乐观。

【Key words】doctor's rights， self- cognition， rights for doctors and patients

【Abstract】Objective:To investigate the current status and prospect of doctors' rights and to provide reference for strengthening the communication and building a harmonious relationship between doctors and patients. Methods:Doctors in six hospitals in Guangzhou and Dongguan were selected by stratif ed random sampling to have a self- designed questionnaire. Data were analyzed by SPSS13.0 statistical software. Results:There are significant gaps in the importance， sources， status quo and prospect（P＜0.05） with dif erent education background and titles. It also shows that there are no significant gaps in working experience， gender and compensation. Conclusions: Doctors have recognized the importance of doctor patient relationship and communication but needs to pay more attention. It shows that 80% of the investigated doctors have a negative sense in the prospect of doctor patient rights.

Author's address：School of Art and Management， Guangdong Medical University， No.1， Xincheng Street， Songshanhu Science Area，Dongguan， 523808， Guangdong Province， PRC

有观点认为我国医患关系持续紧张、恶性事件时有发生，与医生的权力过大有很大的关联。医生的权力有两个来源：一是职业权力，即岗位权力，主要有诊治权、处方权、检查权、了解隐私权、法理公权力以及特殊干涉权；二是个人影响力，这种广义上的权力即权威，包括医生个人魅力、专业知识权威、技能、社会地位和道德等内容［1］。本研究主要侧重于医生职业权力。在问诊过程中，医生由于专业知识的垄断地位、技术权威和相应的社会制度保障，患者明显处于弱势地位，种种原因对医患关系的紧张有着不可推卸的责任。事实是否如此？医生对权力的自我认知又是怎样？它究竟对医患关系产生多大的影响？鉴于此，课题组开展了医生权力的自我认知与医患关系的调查分析。……