| Objective:By reviewing the literature, carrying out questionnaire survey and interview in residents and clinicians, this paper aims to study the awareness of misdiagnosis, situation of preventing misdiagnosis in hospital, to explore the causes of misdiagnosis, to reveal the essence and mechanism of misdiagnosis, and demand on misdiagnosis, so that putting forward policy and suggestions, and guiding health education and health promotion. It can also be used as baseline data to provide proposals from a more objective, specific and practical point of view for preventing misdiagnosis.Methods:Use the residents of the part of the community in Xiqing District of Tianjin city, the clinicians of Tianjin Medical University General Hospital, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine and Tianjin Baodi district hospital as the object of investigation, taking the inquiry investigation. The survey takes a random survey, no age-limited. In a survey of residents a total of120questionnaires,118valid questionnaires were recovered, the recovery rate is98.3%; In the clinician issued to220questionnaires,198valid questionnaires were recovered, the recovery rate is90%. The records were entered by Epidata3.1and analysed by Spssl7.0. In the research, different analytical methods are available including cumulative probability, and chi-square test. The level of test is a=0.05(two-side).Results:1) The investigation shows86.4%of the residents and35.9%doctors heard of the misdiagnosis but no awareness of it;2)48%clinicians are sure of misdiagnosis experience,11.1%clinicians should not determine whether misdiagnosis is appeared, misdiagnosis is inevitable and common;3)85.9%doctors think the misdiagnosis of responsibility should be shared by both doctors and patients;4) Clinicians working time and misdiagnosis of experience have statistical significance, X2=24.57,X2>X20.05,8=15.51,P<0.05.As the increase of doctor’s working time,they encountered more and more difficult miscellaneous diseases, the possibility of misdiagnosis is higher;5)There is no statistical significance between misdiagnosis experience and doctor degree, X2=2.94, X2<X20.05,4=9.49, P>0.05.Misdiagnosis is inevitable;6) The satisfaction to constructing misdiagnosis prevention system is not high, which contributes to misdiagnosis;7) The51%doctors think the ethical and moral factor is associated with misdiagnosis, moral deficiency is one of the the reasons for the high occurrence of misdiagnosis.Coclusion:The government should continue to play a leading role in the misdiagnosis prevention, through school education, news media, hospital training and so on, strengthen understanding of misdiagnosis nature, and popularization of misdiagnosis knowledge; To strengthen the Three Basics Training, standardization of medical records, carrying out the misdiagnosis report, medical record in order to establish the misdiagnosis prevention system gradually; By following-up patients, counting the rate of misdiagnosis and make the misdiagnosis rate public, reducing the patient expectations, supervising the doctors behavior, building a communication platform and a long-term mechanism of physician-patient mutual supervision; The government should increase financial support and policy innovation, help hospital return to more public welfare and make doctor more professional, shape doctor occupation spirit, reconstruct doctor-patient’s trust. Setting up the third party supervision mechanism and the legal laws to constraint doctors and patients’behavior. |
PDF Full Text Request