医疗纠纷实证研究与对策探讨——基于对南京市鼓楼区医调委2010—2013年受理案件的分析
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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 and countermeasures discussion on medical disputes——Based on the analysis on cases accepted by Gulou District People’s Mediation Committee of medical disputes from 2010 to 2013
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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?

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    Objective: To explore the characteristic and pattern of medical disputes, so that to provide the basis for medical institutions to prevent medical disputes. Methods: General descriptive statistical analysis was performed to analyze seven aspects, including 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 was stable, tertiary hospital was “disaster zone”; “economic compensation” was the key point to disputes resolution with indemnity number ranged mainly from 1 to 100 000 Yuan; the department of surgery ranked top 1 in frequency; elderly and children patients were the main group involved in dispute; dissatisfaction with the effect of diagnosis and treatment was the “fuse” to medical disputes. Conclusion: 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, improve the level of professional technique and the ability of communication with patients, and enhance the credibility of medical dispute mediation mechanism.

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赵 炽,祝 彬.医疗纠纷实证研究与对策探讨——基于对南京市鼓楼区医调委2010—2013年受理案件的分析[J].南京医科大学学报(社会科学版),2015,(5):349~354

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  • 收稿日期:2015-07-19
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  • 在线发布日期: 2015-11-03
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