Research on the Current Status and Prevention Strategies of Negative Defensive Medicine for Medical Students
- VernacularTitle:医学生消极防御性医疗行为倾向现状及预防策略研究
- Author:
Juan GUAN
1
;
Zhixin LIU
;
Weijian SONG
;
Yunkai LI
;
Wei LIU
;
Libo LIANG
Author Information
1. 哈尔滨医科大学卫生管理学院 黑龙江 哈尔滨 150081
- Publication Type:Journal Article
- Keywords:
medical students;
negative defensive medicine;
structural equation model
- From:
Chinese Hospital Management
2025;45(7):15-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective It investigates the current status of negative defensive medical behavior tendencies among medical students and explores influencing factors,aiming to provide evidence for improving medical students' propensity for negative defensive medical practices.Methods In February 2023,a cluster sampling approach was employed to recruit 297 medical students from a medical college-affiliated hospital in Province H.Descriptive statistics,chi-square tests,and correlation analyses were conducted to assess negative defensive medical behavior tendencies.Structural equation modeling(SEM)was utilized to explore multidimensional influencing factors.Results 45％of medical students demonstrated high-level negative defensive medical behavior tendencies.Statistically significant differences were observed between genders(x2=5.569,P＜0.05)and only-child/non-only-child groups(x2=6.104,P＜0.05).Positive correlations were identified between negative defensive medical behaviors and role stress(r=0.217,P＜0.01),negative organizational environment evaluation(r=0.395,P＜0.01),and negative social environment evaluation(r=0.405,P＜0.01).Only-child status was confirmed as an influencing factor(β=-0.123,P=0.036).Negative organizational environment evaluation(β=0.504,P＜0.001)and negative social environment evaluation(β=0.193,P=0.039)showed significant positive effects.Conclusion Immediate interventions-including role-specific risk allocation,organizational ecosystem reconstruction,and social environment governance-require urgent implementation to address early-stage behavioral deviance,counteract the solidification of defensive medical thinking patterns,and reduce predispositions toward negative professional behaviors among medical trainees.
