医患认知差异与医疗纠纷成因分析

目的 找出因医患认知差异引发医疗纠纷的关键因素,以控制医疗纠纷发生及发展. 方法 把上海3所医院(其中三级甲等综合医院2所,三级甲等专科医院1所)2002～2006年门诊、住院患者及医务人员作为调查对象,采用随机抽样方法进行调查分析. 结果 医患双方对卫生法律、医疗服务和权利义务等医疗纠纷影响因素存在显著认知差异. 结论 医患认知差异是产生医疗纠纷的重要原因,必须采取有效措施进行预防和干预.

Analysis of differences in cognition between doctors and patients and causes of medical disputes

Objective To identify the key factors triggering medical disputes induced by differences in cognition between doctors and patients in order to control the occurrence and development of medical disputes. Methods From 2002 to 2006,the outpatients,inpatients and medical staff of 3 hospitals in Shanghai(class 3 first level general hospital,n=2;class 3 first level special hospital,n=1) were investigated,and random sampling method was employed for the research analysis. Results There were significant differences between doctors and patients in cognition of influential factors triggering medical disputes such as health law,medical services,rights and obligations. Conclusion The differences in cognition between doctors and patients are important causes for medical disputes,and effective prevention and intervention measures must be taken.