医生的职业声誉如何受损?患者、护士和医生的观点。

Pub Date : 2024-04-22 eCollection Date: 2024-01-01 DOI:10.18502/jmehm.v17i1.15389
Ali Abdollahi, Mina Mobasher
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引用次数: 0

摘要

通常,医生的声誉在很大程度上影响着公众对医疗行业的信心。遗憾的是,在当代伊朗,社会对医生的看法似乎受到了负面影响。因此,本研究旨在分析和阐明造成这一现象的根本原因。这项定性研究对 2022 年进行的半结构式访谈进行了内容分析。研究对象包括克尔曼医科大学附属医院的 6 名医生、6 名护士和 12 名患者。主要主题的提取采用了 Graneheim 和 Lundman 方法,并通过 MAXQDA 20 进行了数据管理。研究确定了五个主题,概括了医生声誉受损的原因:医生与患者的关系、医生与社区的关系、医生与医学界的关系、医疗实践中的挑战以及与医学教育相关的挑战。在这些主题中,共出现了 38 个次主题。似乎损害医生声誉的主要驱动因素包括:无效沟通、公众因医疗事故对某些医生和医疗中心的负面态度、医生的不正当关系、医生的技能差距、教育不足以及道德失范。结论是,一些基础设施因素对医生的声誉产生了负面影响。因此,建议对医生的职业行为、实践和关系进行监督,同时对医学教育系统进行审查。
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How can physicians' professional reputation be damaged? Patients', nurses' and physicians' viewpoints.

As a rule, physicians' reputation significantly influences public confidence in the medical profession. Unfortunately, the societal perception of physicians in contemporary Iran appears to be negatively impacted. Therefore, the present study aimed to analyze and elucidate the fundamental causes of this phenomenon. This qualitative study employed content analysis of semi-structured interviews conducted in 2022. The study population consisted of 6 physicians, 6 nurses and 12 patients in the the affiliated hospitals in Kerman University of Medical Sciences selected through purposive sampling. Extraction of the main themes followed the Graneheim and Lundman approach, and data management was facilitated through MAXQDA 20. The study identified five themes encapsulating the causes for damage to physicians' reputation: physicians' relationship with patients, physicians' relationship with the community, physicians' relationship with the medical profession, challenges within medical practice, and challenges related to medical education. Within these themes, a total of 38 subthemes emerged. The primary drivers that seem to damage physicians' reputation include: non-effective communication, negative public attitudes toward certain physicians and medical centers due to malpractice, illegitimate relationships of physicians, gaps in physicians' skills, insufficient education, and ethical lapses. It was concluded that several infrastructural elements negatively impact physicians' reputation. Consequently, it is recommended to monitor the professional behaviors, practices and relationships of physicians, while scrutinizing the medical education system.

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