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医疗纠纷调查与预防解决机制的完善——以东莞市13家公立医院为例

Surveying the medical disputes and the improvement of prevention and settlement mechanism sampled with 13 public hospitals in Dongguan

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【作者】 张跃铭

【Author】 Zhang Yue-ming;Guangdong Medical College;

【机构】 广东医学院社会科学部

【摘要】 目的:了解近几年来东莞市医疗纠纷现状和形成原因,为进一步预防和解决医疗纠纷提供决策依据。方法:设计调查问卷,抽取东莞市的13家公立医院进行调查。结果:群体性"医闹"事件约占医疗纠纷发生数量的15.6%;在各种解决途径中,双方协商解决数约占63.8%,诉讼解决数约占14.4%,行政调解解决数约占2.5%,未解决或通过其他方式解决数约占19.3%;因医方、患者方和社会方面的原因引发医疗纠纷的分别占比43.6%、38%和18.4%。结论:进一步完善医疗纠纷调解制度与建立医疗纠纷仲裁制度,形成多元化医疗纠纷预防解决机制。

【Abstract】 Objective To study the status of medical disputes in Dongguan and its causes,and provide references for prevention and settlement of medical disputes. Methods 13 public hospitals were sampled from Dongguan and surveyed with self-made questionnaire. Results For all of these medical disputes,the events of medical dispute profiteers accounted for about 15. 6%. For the solution,63. 8% of them preferred to negotiation. 14. 4% of them chose litigation. And 2. 5% of them resorted to administrative mediation. For the causes of medical disputes,cases from medical professionals were 43. 6%,and from patients and society were 38%and 18. 4%,respectively. Conclusion It is suggested to improve medical dispute mediation system and arbitration system,and establish diversified prevention and settlement mechanism for medical disputes.

【关键词】 医疗纠纷调查预防解决机制
【Key words】 medical disputesurveypreventionsettlementmechanism.
【基金】 2012年东莞市哲学社会科学专题调研类资助课题“东莞市医疗纠纷调查与预防解决机制研究”(编号:2012ZD07)
  • 【文献出处】 中国卫生事业管理 ,Chinese Health Service Management , 编辑部邮箱 ,2014年10期
  • 【分类号】R-051
  • 【被引频次】14
  • 【下载频次】392
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