The impact of defensive medical practice on medical quality and preventive measures
防御性医疗行为对医疗质量的影响及防范措施研究

摘要

目的 本文致力于研究防御性医疗行为对医疗质量的影响及防范措施。方法 调研了分别在干预前后的医疗质量变化，共包含两个组别，每组40例样本，一组在实施防御性医疗措施后，即观察组，另一组为对照组不进行特殊干预。产生的结果通过SAS评分和SDS评分，以及躯体功能、社会功能、角色功能、认知功能和总体健康的指标进行评判。结果 观察组在实施防御性医疗行为后，SAS评分和SDS评分都显著下降，躯体功能、社会功能、角色功能、认知功能和总体健康得分显著提高，同时管理满意度也达到了95%，且医疗纠纷和事故发生率较低，只有5%。相较于对照组，观察组在多个维度下的表现均较好。结论 防御性医疗行为的实施，可以有效提高医疗质量，降低医疗纠纷的发生，获得了较高的管理满意度，对于提高医疗服务质量具有积极的意义，值得在临床实践中推广使用。

Abstract

Objective This paper is committed to studying the impact of defensive medical practice on medical quality and preventive measures.
Methods The changes in medical quality before and after intervention were investigated, including two groups with 40 samples each. One group implemented defensive medical measures, namely the observation group, while the other group, the control group, did not receive special intervention. The results were evaluated through SAS and SDS scores, as well as indicators of physical function, social function, role function, cognitive function, and overall health.
Results After the implementation of defensive medical practice, the observation group showed a significant decrease in SAS and SDS scores and a significant increase in scores for physical function, social function, role function, cognitive function, and overall health. The management satisfaction rate reached 95%, and the incidence of medical disputes and accidents was low, at only 5%. Compared with the control group, the observation group performed better in multiple dimensions.
Conclusion   The implementation of defensive medical practice can effectively improve medical quality, reduce the occurrence of medical disputes, and achieve high management satisfaction. It has a positive significance for improving medical service quality and is worth promoting in clinical practice.