摘    要：目的：通过对杭州市医护人员医疗损害责任知识、态度、行为的调查，分析不同类别医疗机构的医护人员知信行现况及差异，发现存在的问题，探讨原因，为今后的卫生法制教育提供参考。方法 ：采用自行设计的医疗损害责任知信行评估问卷，对杭州市6家不同类别医疗机构的医护人员进行调查。结果：本次调查共发放问卷330份，回收313份，医护人员获取医疗损害责任知识的途径大部分为单位培训（91.6％）；知识、态度、行为的平均得分分别为（4.48±1.03）分、（30.9±4.6）分、（31.2±2.7）分，对应的百分制标准分为（64±14.7）分、（77.3±11.5）分、（78.0±6.7）分；不同机构类别、年龄、教育程度、职称、工作时长医护人员知信行得分的差异具有统计学意义（P＜0.05）；知识与态度、知识与行为、态度与行为之间的得分均呈正相关。结论：医护人员对医疗法律问题的总体关注度较高，对最新的《侵权责任法》司法解释知之甚少，获取知识的途径以单位培训为主，医护人员医疗损害责任知识得分偏低，而态度行为得分较高。

关键词：医疗损害；医护人员；侵权责任法；知信行；

Abstract：Objective: Based on the research of the knowledge, attitude and practice of liability for medical damage, this paper will analyze the current situation and differences of medical staffs who work in different types of medical institutions in Hangzhou, discover some existing problems, and explore causes to provide a reference for future’s health law education. Method: Adopt self-designed questionnaires on the assessment of KAP of liability for medical damage to investigate medical staffs in 6 different types of medical institutions in Hangzhou. Result: A total of 330 questionnaires were distributed in this survey, and 313 were collected. The majority of medical staffs acquire the knowledge of liability for medical damage by training (91.6%); the average scores of knowledge, attitude and practice are (4.48±1.03), (30.9±4.6) and (31.2±2.7), and the corresponding standard scores are (64±14.7), (77.3±11.5) and (78.0±6.7); the differences in the score of KAP among medical staffs with different types of institutions, ages, educations, positions and working hours are statistically significant (P<0.05); there is a positive correlation between knowledge and attitude, knowledge and practice, attitude and practice. Conclusion: The overall attention of medical staff on medical legal issues is high, however, they know little about the latest judicial interpretation of the Tort Liability Law. The main way to obtain knowledge is training. And the score of knowledge is relatively low while the scores of attitude and practice are high.

Key words: medical damage; medical staff; Tort Liability Law; KAP

目录

1前言 5

2研究方法 5

2.1文献研究法 5

2.2问卷调查法 5

2.2.1预调查 5

2.2.2调查对象和抽样方法 6

2.2.3调查内容 6

2.3 定性访谈法 7

2.4数理统计法 7

3结果 8

3.1研究对象的一般情况 8

3.2医护人员医疗损害责任培训和学习情况 9

3.3医疗损害责任知信行得分情况 10

3.3.1知识 10

3.3.2态度 11

3.3.3行为 12

3.4医护人员知信行得分相关分析 12

3.5医护人员知信行得分的单因素分析 13

3.6医护人员知信行得分的逐步回归分析 16

3.7访谈结果 17

4讨论与分析 17

4.1医护人员对医疗法律问题的总体关注度较高 17

4.2医护人员对最新的《侵权责任法》司法解释知之甚少 17

4.3医护人员获取医疗损害责任知识的途径以单位培训为主 17

4.4医护人员医疗损害责任知识得分偏低，而态度行为得分较高 18

4.4.1知识 18

4.4.2态度和行为 19

4.5医护人员医疗损害责任知信行影响因素分析 20