[1]郁昕怡,徐佳苗,刘 健,等.医疗纠纷影响因素及防范策略研究[J].卫生经济研究,2025,42(03):91-93.
　YU Xinyi,XU Jiamiao,LIU Jian,et al.Study on Influencing Factors and Preventive Strategies of Medical Disputes[J].Journal Press of Health Economics Research,2025,42(03):91-93.
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医疗纠纷影响因素及防范策略研究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
42
期数:
2025年03期
页码:
91-93
栏目:
医院管理
出版日期:
2025-03-04

文章信息/Info

Title:
Study on Influencing Factors and Preventive Strategies of Medical Disputes
作者:
郁昕怡1; 徐佳苗1; 刘 健1; 黄晓光1; 2
1.南京医科大学医政学院，江苏 南京 211166
2.江苏省健康研究院，江苏 南京 211166
Author(s):
YU Xinyi;  XU Jiamiao;  LIU Jian;  HUANG Xiaoguang
School of Health Policy and Management, Nanjing Medical University, Nanjing Jiangsu 211166, China
关键词:
医疗纠纷;  赔付;  医疗风险;  医疗责任保险
Keywords:
medical disputes;  compensation;  medical risk;  medical liability insurance
分类号:
R19
文献标志码:
A
摘要:
目的：分析江苏省某市医疗纠纷处理情况及其影响因素，为完善医疗纠纷处理体系，构建和谐医患关系提供参考。方法：分析样本地区2020—2022年发生的3 040起医疗纠纷，应用卡方检验和多因素Logistic回归分析医疗纠纷的风险因素。结果：医疗技术过失案件高发，医疗技术存在局限性；无责任医疗纠纷频发，医患沟通不到位；医疗纠纷赔偿负担沉重，医疗风险分担机制有待完善。结论：提高医务人员综合素质，改善医患关系；加强医疗机构风险管理，提升医疗质量；完善医疗风险分担机制，实现多方共赢。
Abstract:
Objective To analyze the medical dispute handling situation and its influencing factors in a city of Jiangsu Province, and to provide reference for improving the medical dispute handling system and building a harmonious doctor-patient relationship. Methods 3 040 medical dispute cases occurring in the sample area from 2020 to 2022 were analyzed, and chi-square test and multi-factor logistic regression were applied to analyze the influencing factors of medical dispute risk. Results The incidence of medical technical negligence cases was high, and there were limitations to medical technology. Unreliable medical disputes occurred frequently, and there was inadequate communication between doctors and patients. The burden of medical dispute compensation was heavy, and the mechanism for sharing medical risks needed to be improved. Conclusion It is necessary to enhance the comprehensive quality of medical personnel to improve the doctor-patient relationship, strengthen the risk management of medical institutions to improve the quality of medical care, improve the medical risk-sharing mechanism to achieve a win-win situation for all parties involved.

参考文献/References:

[1] 杨风，朱俊敏，许艳秋，等.医疗损害纠纷诉讼案件分析——以江苏省为例[J].中国卫生事业管理，2020，37（09）：678-682.
[2] 黄铮，田梓，宋琪，等.660例医患纠纷赔偿案例分析[J].医学与哲学，2021，42（23）：59-63.
[3] 樊荣，宋艳鹏，王丽艳，等.新疆生产建设兵团某公立医院医疗纠纷赔付率影响因素分析[J].医学与哲学，2022，43（09）：41-46.
[4] 宋涛.医疗损害责任中的过错问题研究[D].重庆：西南政法大学，2011.
[5] 杨自根.我国医疗风险社会化分担机制的现实困境及路径探索[J].中国卫生事业管理，2016，33（12）：957-959.
[6] 董圣洁，施贞夙，李国红.我国三甲医院医疗损害责任纠纷现况分析[J].中国医院，2020，24（04）：26-29.
[7] 黄鹂，袁达，彭华.医疗风险管理在医疗安全不良事件中的应用实践[J].中国医院，2022，26（01）：63-64.
[8] 黄善甲，邵海亚.基于扎根理论的县级医院医患纠纷研究[J].南京医科大学学报（社会科学版），2022，22（03）：253-259.

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更新日期/Last Update: 2025-03-04