[1]边乐超,韦铁民,陈美芬,等.基于结构变动度的医疗纠纷原因动态变化研究[J].卫生经济研究,2018,(10):25-29.
　BIAN Le-chao,WEI Tie-min,CHEN Mei-fen,et al.Research on Dynamic Change of Medical Disputes Based on Structural Change[J].Journal Press of Health Economics Research,2018,(10):25-29.
点击复制

基于结构变动度的医疗纠纷原因动态变化研究
分享到：

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2018年10期
页码:
25-29
栏目:
方法学应用
出版日期:
2018-10-05

文章信息/Info

Title:
Research on Dynamic Change of Medical Disputes Based on Structural Change
作者:
边乐超1; 韦铁民1; 陈美芬1; 苏艾华1; 谢剑锋1
1.浙江省丽水市中心医院，浙江 丽水 323000
Author(s):
BIAN Le-chao;  WEI Tie-min;  CHEN Mei-fen;  SU Ai-hua;  XIE Jian-feng
Zhejiang Province Lishui Central Hospital, Lishui Zhejiang 323000, China
关键词:
医患关系; 医疗纠纷; 结构变动度
Keywords:
doctor-patient relationship;  medical disputes;  structural change
分类号:
R197
文献标志码:
A
摘要:
本文收集某三甲医院2013—2016年的医疗纠纷记录，按纠纷原因进行分类统计，采用结构变动度分析法分析该医院医疗纠纷的结构变化情况。结果显示：内科医疗纠纷原因结构变动最大，外科医疗纠纷数量最多；医疗技术、敬业精神是引起医疗纠纷原因结构变动的主要因素；医院环境、设施设备引起的医疗纠纷保持在低水平；医技科室医疗纠纷呈增长态势。可见，不同科室存在的相关潜在风险不尽相同，需有针对性采取差异化措施，进一步控制医疗纠纷。
Abstract:
This paper collected the medical dispute records of a Grade IIIA hospital from 2013 to 2016, and classified the statistics according to the reasons of the dispute, and analyzed the structural changes of the medical disputes in the hospital by structural change analysis. The results showed that the structure of internal medical disputes has the largest change, and the number of surgical medical disputes was the largest; medical technology and professionalism were the main factors causing structural changes in medical disputes; medical disputes caused by hospital environment and facilities were kept at a low level; medical disputes in medical technology departments were on the rise. It is necessary to take differentiated measures to further control medical disputes.

参考文献/References:

[1] Hou X, Xiao L. An analysis of the changing doctor-patient relationship in China[J]. J Int Bioethique, 2012,23(2):83-94, 177-178.
[2] 王颖, 孙强, 王海鹏, 等. 基于结构变动度的山东省县级公立医院医疗收入分析[J]. 中国卫生统计, 2015(5):805-807.
[3] 肖燕, 魏少忠, 项莉. 基于结构变动度的新型农村合作医疗住院费用结构研究[J]. 中国卫生经济, 2014(5):24-27.
[4] 何思长, 赵大仁, 孙渤星, 等. 2009-2014年四川省公立医院医疗费用结构变动情况分析[J]. 中国卫生经济, 2016(7):66-69.
[5] 彭炜, 王晓燕, 张建, 等. 影响医患关系和谐的患方因素及对策[J]. 中华医院管理杂志, 2009,25(9):612-614.
[6] 宿小满, 万兵华, 薛赤. 医患纠纷的现状与成因分析[J]. 中国医院管理, 2010,30(10):56-58.
[7] 吴薇, 王勇, 倪杰, 等. 医患关系影响因素比较分析[J]. 中华医院管理杂志, 2013,29(9):676-678.

相似文献/References:

[1]黄显官,刘 毅,王 琼,等.患者合法就医和医方支持系统研究[J].卫生经济研究,2016,(09):29.
[2]王志鑫.我国医患关系紧张的法律成因及其对策[J].卫生经济研究,2017,(03):15.
[3]王志鑫.论我国患者权利的立法保护[J].卫生经济研究,2017,(05):13.
[4]王海容,刘 毅.我国医疗纠纷防处地方立法之实证分析及完善[J].卫生经济研究,2017,(10):11.
[5]汪文新,江舜杰,田怀谷.医疗服务质量对医患关系的影响研究[J].卫生经济研究,2018,(04):26.
[6]周 珊,戴萌娜,徐淑涛,等.基于文献分析的医患关系领域关键问题研究[J].卫生经济研究,2018,(05):47.
[7]李文姣.基于医患信任的医务人员工作投入路径研究[J].卫生经济研究,2018,(07):41.
[8]罗 勇,蒲 川,刘依婷,等.临床治愈与好转患者的医疗纠纷原因分析与对策[J].卫生经济研究,2022,39(12):61.
　LUO Yong,PU Chuan,LIU Yiting,et al.Analysis and Countermeasures of Medical Disputes among Patients with Clinical Conditions Cured and Improved[J].Journal Press of Health Economics Research,2022,39(10):61.
[9]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.
　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(10):91.
[10]殷 璐,曾日红,高 熹,等.三甲医院医疗纠纷发生现状及影响因素分析 ——基于医、患、家属三方视角[J].卫生经济研究,2019,(12):67.
　YIN Lu,ZENG Ri-hong,GAO Xi,et al.Analysis on the Status-quo and Influencing Factors of Medical Disputes in the IIIA Hospitals——Based on the Perspective of Doctors， Patients and Family Members[J].Journal Press of Health Economics Research,2019,(10):67.

更新日期/Last Update: 2018-09-29