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[目的]评价广西壮族自治区各级医疗机构医疗执业环境现状,分析导致医疗执业环境不佳的原因,为制定改善医疗执业环境、医患关系的策略,促进我国医疗执业环境健康、和谐发展提供参考。[方法]对广西壮族自治区二级甲等以上开设肿瘤专科的医院共47家287名医务人员进行调查,调查内容包括执业压力情况,物质精神回报,对执业环境看法,愿意子女从医与否等方面,共发放310份问卷,回收问卷287份,回收率为92.6%。[结果]仅有12.6%的医疗工作人员认为目前的执业环境良好,62.9%的医疗工作人员认为目前的执业环境一般,认为较差和极为恶劣的比例为24.0%。被调查的医务人员希望自己的子女从医的医师占7.5%。医疗纠纷和待遇低是影响执业环境的主要矛盾,分别占40.2%和39.1%。[结论]近年来,国家的综合措施在医疗卫生领域的各个方面都有一定的正面推动作用,但我们也不得不承认当前我国医师的执业环境仍没有得到根本改善、新医改措施及其他相关法律意识在医师中的认知度仍需要进一步强化。
[Objective] To evaluate the current situation of medical practice environment of medical institutions at all levels in Guangxi Zhuang Autonomous Region, analyze the reasons leading to the poor practice environment of medical treatment, and provide reference for making strategies to improve the medical practice environment and the relationship between doctors and patients and to promote the healthy and harmonious development of medical practice environment in our country. . [Methods] A total of 47 287 medical staff in 47 hospitals with two or more secondary tumors in Grade A and above in Guangxi Zhuang Autonomous Region were surveyed. The investigation included the pressure of practicing, the material and moral return, the opinion on the practice environment, the willingness of their children’s medical treatment, etc. A total of 310 questionnaires were distributed and 287 questionnaires were recovered, with a recovery rate of 92.6%. [Results] Only 12.6% of medical staff considered the current practicing environment to be good, and 62.9% of medical staff considered the current practicing environment as normal and considered the poor and the extremely poor as 24.0%. The medical staff surveyed wanted 7.5% of their children to practice medicine. Medical disputes and low treatment are the major contradictions affecting the practice environment, accounting for 40.2% and 39.1% respectively. [Conclusion] In recent years, the comprehensive measures of our country have certain positive effects in all aspects of health care. However, we also have to admit that the practicing environment of our country’s physicians has not been fundamentally improved yet. The new medical reform measures and other relevant laws Awareness among physicians in awareness still needs to be further strengthened.