医疗纠纷实证研究与对策探讨
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南京医科大学医政学院

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江苏省教育厅高校哲学社会科学基金——人类辅助生殖技术运用的法律规制研究(2013SJB820016)


Empirical Study on Medical Disputes and Discuss on Countermeasures
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School of Health Policy & Management, Nanjing Medical University

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    摘要:

    【】目的:探索医疗纠纷发生的特点和规律,为医疗机构防范医疗纠纷提供参考依据。方法:运用一般描述性统计分析方法从纠纷数量年度分布、纠纷个案赔偿金额分布、纠纷在各医疗机构分布、纠纷所涉科室分布、纠纷患者性别、年龄以及纠纷原因构成这七个方面进行分析。结果:医疗纠纷数量平稳,三级医院成为“重灾区”;“经济赔偿”是化解纠纷的关键,且以“1-10万元”赔款最为常见;外科是医疗纠纷最为频发的科室;老年患者和少儿患者是医疗纠纷多发人群;对诊疗效果的不满是医疗纠纷的“导火索”。结论:三级医院应该加强医疗纠纷防范意识,强调“患者参与”的服务理念;对重点科室及重点人群进行重点防范;提高医护人员专业技术水平和与患者有效沟通的水平;增强医疗纠纷人民调解机制的公信力。

    Abstract:

    【】Objective: STo explore the characteristic and pattern of medical disputes, and thus provide the basis for medical institutions to prevent medical disputes.SSMethods: General descriptive statistical analysis used to analyze seven aspects such as the number of annual disputes, distribution of compensation amount per case, distribution to various medical institutions , distribution to different departments involved in disputes, gender of patients, age of patients, and cause of disputes. Results: The number of medical disputes is stable, tertiary hospital is "disaster zone"; "economic compensation" is the key point to disputes resolution, indemnity number ranges mainly Yuan; the department of surgery ranks top 1 in frequency; elderly patients and children patients are main group involved in dispute; dissatisfaction with the effect of diagnosis and treatment is the "fuse" to medical disputes.SConclusion: Tertiary hospitals should strengthen consciousness of prevention to medical disputes, emphasize on the service idea of participation by the patient; pay attention on the prevention to key departments and key crowds; improving the level of professional technique and the ability of communication with patients; enhancing the credibility of medical dispute mediation mechanism.

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  • 收稿日期:2015-07-19
  • 最后修改日期:2015-09-08
  • 录用日期:2015-10-26
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