肿瘤医生对外科和其他医学专业的认知:菲律宾一家三级医院医生的调查

Jamila Marie J. De Veyra, Clevelinda S. Calma
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摘要

摘要引言对肿瘤内科医生存在着未经证实的负面看法。确定他们是如何被感知的,可以为如何加强积极印象和纠正消极印象提供指导。方法对528名医师进行问卷调查。他们被要求回答李克特量表中相反的描述。结果528名医生中有259人完成了问卷调查,回复率为49%。人们认为肿瘤学家的工作重点是医疗而不是社会,他们提供整体护理,扮演多方面的角色,与许多其他专业人员沟通,在团队中更有效地工作,与患者有着深厚的关系,并关心他们的整体健康。他们被认为是非运动型、知识型的人,他们不认为自己高人一等,而是把其他医生视为同事。他们被认为不仅具有处理精神问题和各种各样的病人的技能,具有健康教育作用,需要高水平的智力技能,更多地与他人合作,具有与个别病人良好的人际交往能力,而且还擅长于群体。他们是自主工作者,但通常也会将患者转介给其他专业人士。缺乏资金阻碍转诊给肿瘤医生。结论在专业视野的广度、与患者互动的程度、专业形象的投射、对自身职业地位的感知、对广泛专业责任范围的技能的掌握、与患者和同事的融洽程度、专业相互依赖程度等方面的感知总体为积极的。转诊到内科肿瘤学家的障碍主要是经济因素。
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Perceptions of Surgical and Other Medical Specialties about Medical Oncologists: A Survey among Physicians in a Filipino Tertiary Hospital
Abstract Introduction There are unverified negative perceptions about medical oncologists. Identifying how they are perceived may provide guidance on how to strengthen the positive and correct the negative impressions. Methods Questionnaires were distributed to 528 physicians. They were asked to answer a Likert scale of opposing descriptors. Results Two hundred and fifty-nine of 528 physicians completed the questionnaire, yielding a 49% response rate. Medical oncologists were perceived to have a medical rather than social focus to their work, render holistic care, have a multifaceted role, communicate with many other professionals, work more effectively in a team, have deep relationships with patients, and care for their general well-being. They are considered to be the nonsporty, intellectual type, who do not consider themselves superior, but rather treat other physicians as colleagues. They are perceived to not only have the skills to deal with a psychiatric problem and a wide spectrum of patients, have a health education role, require a high level of intellectual skills, collaborate more with others, possess good interpersonal skills with an individual patient, but are also adept within a group. They are autonomous workers, but usually refer patients to other professionals as well. Lack of finances hinders referral to medical oncologists. Conclusion Perceptions were generally positive in terms of breadth of professional outlook, degree of patient interaction, projected professional image, perception of own professional status, possession of skills for a wide professional scope of responsibility, level of rapport with patient and colleagues, and degree of professional interdependence. Mainly financial factors are the barriers to referral to medical oncologists.
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