醫事從業人員對於醫療隱私之知識、態度及行為研究

Knowledge, Attitudes, and Behavior among Medical Practitioners Towards Medical Treatment Privacy

目的：了解醫事從業人員對醫療隱私之認知、態度及行為的現況與差異情形。方法：採橫斷面設計方式，以立意抽樣選定中部某區域醫院醫事從業人員為受試對象。問卷採用修訂版「醫療隱私權之認知、態度及行為量表」。經人體試驗倫理委員會同意後發放380份問卷，有效回收313份（82.37%）。結果：以女性、大學程度、未婚、無宗教信仰、非主管、沒有參加病人隱私權相關課程為最多。平均年齡34.34±9.16歲。醫療隱私認知答對率為88%。醫療隱私態度、行為是正向，且態度各構面依序為自主權、身體隱私、隱私政策、資訊隱私。不同人口學變項在醫療隱私認知、態度與行為呈顯著差異。醫療隱私之認知與態度及行為呈無顯著相關，但醫療隱私之態度與行為呈顯著正相關。職稱、醫療隱私態度之身體隱私、自主權對醫療隱私行為具有顯著預測力。結論：醫事從業人員醫療隱私認知答對率高，態度、行為均為正向。建議應持續增進並落實病人隱私的認知、態度與行為。

Objectives. To understand the current situation and differences of medical practitioners' knowledge, attitudes, and behavior towards medical treatment privacy.
Methods. This study adopted a cross-sectional design, and selected medical practitioners through purposive sampling from a certain regional hospital in the central Taiwan as the participants. The questionnaire was adopted revised ''knowledge, attitudes and behavior towards patient's right to privacy scale''. After approved by IRB, 313 valid questionnaires were collected out of 380 questionnaires (82.37%).
Results. Most are female, university level, unmarried, non-religious beliefs, non-supervisor employees, and no participation in medical privacy related courses. The average age of the participants is 34.34±9.16 years. The correct answer rate of knowledge towards medical treatment privacy is 88 %. Attitudes, behavior towards medical treatment privacy are positive, and attitudes factors’scores are, in order, autonomy, physical privacy, privacy policy, and information privacy. Knowledge, attitudes, and behavior towards medical treatment privacy are significant difference in different demographic variables. Knowledge towards medical treatment privacy is not significantly correlated with attitudes and behaviors, but the attitudes and behaviors of medical treatment privacy are significantly positively correlated. Medical practitioners’job title and attitudes towards physical privacy and autonomy have significant predictive power for medical treatment privacy behavior.
Conclusion. Medical practitioners have a high correct rate of knowledge towards medical treatment privacy, and have positive attitudes and behaviors towards medical treatment privacy. It is recommended that medical practitioners should continue to promote and implement knowledge, attitudes, and behavior towards medical treatment privacy.