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湛欢, 李逵, 金梦祝, 陈紫煜, 杨宗亮.医学生卫生法治素养评价指标体系构建研究[J].湖南中医药大学学报英文版,2025,45(9):1744-1750.[Click to copy
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| 医学生卫生法治素养评价指标体系构建研究 |
| 湛欢,李逵,金梦祝,陈紫煜,杨宗亮 |
| (湖南中医药大学, 湖南 长沙 410208;湖南中医药大学第一附属医院, 湖南 长沙 410007;嘉兴市第一医院, 浙江 嘉兴 314001;湖南省肿瘤医院, 湖南 长沙 410013;湖南中医药大学第二附属医院, 湖南 长沙 410005) |
| 摘要: |
| 目的 构建医学生卫生法治素养的指标体系，为医学生卫生法治素养评价提供参考依据。方法 通过德尔菲法对16位行业专家进行咨询；运用层次分析法确认指标权重。结果 经过3轮专家咨询，建立了包含4个一级指标、11个二级指标、24个三级指标的医学生卫生法治素养评价指标体系。一级指标卫生法治认知、卫生法治思维、卫生法治信仰、卫生法治行为的权重分别为0.224、0.231、0.130、0.415；二级指标中权重最高的前4个条目为依法行医行为（0.162）、遵守医疗法规习惯（0.162）、卫生法律知识掌握（0.094）、维权意识（0.093）；三级指标中权重排名前5位的是模拟病历的规范书写（0.106）、遵守医疗保险法律的习惯（0.065）、对法律权威性的认同程度（0.057）、模拟临床决策时考虑法律合规性（0.051）和实习中合规医疗操作（0.050）。结论 研究构建的指标体系具有较好专家权威性，凸显了医学生法治素养培育的专业性要求和实践导向，但考虑到应用的严谨性，后续还需进一步修正，再通过实证研究完成验证。 |
| 关键词: 医学生 卫生法治素养 评价指标体系 德尔菲法 |
| DOI：10.3969/j.issn.1674-070X.2025.09.022 |
| Received:April 18, 2024 |
| 基金项目:湖南省教育科学规划2024年度课题(ND248998)。 |
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| Construction of an evaluation indicator system for medical students’ health-related legal literacy |
| ZHAN Huan, LI Kui, JIN Mengzhu, CHEN Ziyu, YANG Zongliang |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;The First Hospital of Jiaxing, Jiaxing, Zhejiang 314001, China;Hunan Cancer Hospital, Changsha, Hunan 410013, China;The Second Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410005, China) |
| Abstract: |
| Objective To construct an indicator system for medical students’ health-related legal literacy, providing a reference framework for evaluation. Methods Delphi method was employed to consult 16 industry experts, while the Analytic Hierarchy Process（AHP） was applied to determine the indicators’ weights. Results After three rounds of expert consultation, an evaluation indicator system for medical students’ health-related legal literacy was established, comprising four first-level indicators,11 second-level indicators, and 24 third-level indicators. The weights of the first-level indicators—legal cognition, legal thinking,belief in the rule of law, and rule-of-law-based behavior in health governance—were 0.224, 0.231, 0.130, and 0.415, respectively.Among the second-level indicators, the top four weighted items were legal medical practice（0.162）, habit of complying with medical regulations（0.162）, mastery of health-related legal knowledge（0.094）, and awareness of rights protection（weight: 0.093）. The top five indicators at the third level were the standardized documentation of simulated medical records（0.106）, habit of adhering to health insurance laws（0.065）, level of recognition for legal authority（0.057）, legal compliance consideration in simulated clinical decisionmaking（0.051）, and standardized clinical practices during internships（0.050）. Conclusion The indicator system constructed in this study demonstrates strong expert authority, and highlights the professional requirements and practical orientation for cultivating medical students’ legal literacy. However, considering the need for rigorous application, further revisions are required, followed by validation through empirical research. |
| Key words: medical students health-related legal literacy evaluation indicator system Delphi method |
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