上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（公共卫生） • 上一篇    下一篇

公立医院医疗纠纷处理路径实证探究

袁加俊1, 仇晓春2, 童天朗1, 陈菁华1, 李向楠1, 盛伟慧1   

  1. 上海交通大学 医学院 1.附属新华医院，上海200092； 2.图书馆，上海200025
  • 出版日期:2016-10-28 发布日期:2016-11-29
  • 通讯作者: 童天朗， 电子邮箱： yitiaoban@163.com。
  • 作者简介:袁加俊(1990—)， 男， 硕士生； 电子邮箱： y680317@163.com。
  • 基金资助:

    上海市医院协会医院管理研究基金（1602015）

Empirical study on methods for handling medical disputes in public hospitals

YUAN Jia-jun1, QIU Xiao-chun2, TONG Tian-lang1, CHEN Jing-hua1， LI Xiang-nan1， SHENG Wei-hui1   

  1. 1.Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China； 2.Library，Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Online:2016-10-28 Published:2016-11-29
  • Supported by:

    Shanghai Hospital Association Foundation for Hospital Management， 1602015

PDF (PC)

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摘要：

目的·探讨完善公立医院医疗纠纷处理路径的有效模式，构建和谐的医患关系。方法·收集2012—2015年上海市某公立医院医疗纠纷数据，统计分析，比较该医院在规范医疗纠纷处理路径前后的医疗纠纷化解率、医疗纠纷化解时长及医疗纠纷处理途径构成比的变化情况。结果·规范医疗纠纷处理路径后该医院医疗纠纷化解率由2012年的59.26%提升到2015年的75.34%，增加了16.08%。医疗纠纷化解时长由2012年的平均203.96 d下降至2015年的189.11 d，下降了14.85 d。2012—2015年，医疗纠纷处理途径由2012年的医患双方协商为主（构成比为65.40%）转变为2015年的医疗纠纷人民调解委员会调解为主（构成比为71.81%）。结论·以患者为中心、临床参与、多部门联合、专业法律评估支持的医疗纠纷处理路径，有助于推动公立医院医疗纠纷的高效处理，构建和谐的医患关系。

关键词: 公立医院, 医疗纠纷, 处理路径

Abstract:

Objective·To explore effective models for handling medical disputes in public hospitals and to establish a harmonious relationship between the hospital and patients. Methods·Data on medical disputes in one Shanghai public hospital between 2012 and 2015 were collected and statistically analyzed. Changes in resolution rate, duration, and handling methods of medical disputes before and after the standardization of medical dispute handling were compared. Results·After the standardization of medical dispute handling, the solution rate of medical disputes was increased by 16.08%, from 59.26% (2102) to 75.34% (2015) and the duration of medical disputes was decreased by 14.85 d, from 203.96 d (2102) to 189.11 d (2015). The main method for handling medical disputes was changed from the consultation between the hospital and patients in 2012 (accounted for 65.40%) to the consultation by the peoples mediation committee of medical disputes in 2015 (accounted for 71.81%). Conclusion·A patient centered, clinical department involved, multi-department cooperated, and professional legal evaluation supported method for handling medical disputes facilitates the high efficient handling of medical disputes in public hospitals and establishment of a harmonious relationship between the hospital and patients.

Key words: public hospital, medical disputes, processing path