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广东省公立医院医疗纠纷变化趋势与解决途径分析
引用本文:胡鹏飞,陈少贤,彭晓明,翟祖唐,吴少林,孙炳刚.广东省公立医院医疗纠纷变化趋势与解决途径分析[J].中国医院管理,2008,28(2).
作者姓名:胡鹏飞  陈少贤  彭晓明  翟祖唐  吴少林  孙炳刚
作者单位:1. 中山大学公共卫生学院,广东,广州,510080
2. 广东现代医院管理研究所,广东,广州,510120
3. 广东省卫生厅,广东,广州,510060
基金项目:广东箥卫生厅资助项目 
摘    要:目的了解广东省公立医院医疗纠纷变化趋势、分布特点、解决途径及影响。方法采用信访方式对广东省公立医院医疗纠纷的发生、处理及影响情况进行调查;通过现场调查方式对随机抽取的17所医院的医务人员进行访谈。结果广东省公立医院医疗纠纷发生数量呈逐年上升趋势;三级医院医疗纠纷发生频次高于二级医院,珠三角地区医院医疗纠纷发生频次高于非珠三角地区医院,隶属于设区的市、区医院医疗纠纷发生水平高于隶属于县和县级市的医院;医疗纠纷以双方协商解决为最主要的解决途径;由医疗纠纷引起的医患冲突发生起数和医患冲突数占当年纠纷数比例均呈逐年上升趋势。结论广东省公立医院医疗纠纷发生数量逐年上升;不同级别、区域和行政隶属医院发生医疗纠纷的程度存在差异;由医疗纠纷引起的医患冲突给公立医院的正常运行带来了很大影响。应当切实采取有效措施,防范医疗纠纷的产生,对已发生的纠纷要采取适当的途径解决,防止其演化为医患冲突。

关 键 词:公立医院  医疗纠纷  变化趋势

Trend and Solutions of Medical Disputes Occurred in Guangdong Public Hospitals
HU Peng-fei,CHEN Shao-xian,PENG Xiao-ming,et al..Trend and Solutions of Medical Disputes Occurred in Guangdong Public Hospitals[J].Chinese Hospital Management,2008,28(2).
Authors:HU Peng-fei  CHEN Shao-xian  PENG Xiao-ming  
Institution:HU Peng-fei,CHEN Shao-xian,PENG Xiao-ming,et al.First-author's address School of Public Health,Sun Yat-sen University,Guangzhou,Guangdong,510080,China
Abstract:Objective To understand the trend,distribution,solutions and influences of medical disputes occurred in Guangdong public hospitals.Methods Mail survey was used to investigate the occurrence,solutions,and influences of medical disputes in Guangdong public hospitals as well as field interview with the medical staffs in 17 hospitals from a random sample.Results The number of medical dispute occurring in Guangdong public hospitals is rising annually.The rate of medical disputes varied with hospitals in different levels.In tertiary hospitals,the occurrence level is higher than secondary hospitals. Hospitals In PDR(pearl-delta rival)region and municipal had higher medical dispute occurrence rate than those in non-PRD region and counties. Consultation is the mainsolution of medical disputes in Guangdong public hospitals.The doctor-patient conflicts caused by medical disputes are rising annually. Conclusion The number of medical disputes occurring in Guangdong public hospitals is raising annually.But in different economic classes,regions and administrative levels,the medical disputes were different.The doctor-patient conflicts caused by medical disputes had a tremendous impact on Guangdong public hospitals.We should take practical and effective measures to prevent the emergence of medical disputes.At the same time,we should solve the medical disputes appropriately to prevent the doctor-patient conflicts.
Keywords:public hospital  medical dispute  trend
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