[1]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):61-63.
　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(12):61-63.
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临床治愈与好转患者的医疗纠纷原因分析与对策
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年12期
页码:
61-63
栏目:
医院管理
出版日期:
2022-11-24

文章信息/Info

Title:
Analysis and Countermeasures of Medical Disputes among Patients with Clinical Conditions Cured and Improved
作者:
罗 勇1; 2; 蒲 川1; 刘依婷3; 彭永松4; 皮 星2
1.重庆医科大学公共卫生与管理学院，重庆 400016
2.重庆市第九人民医院，重庆 400000
3.重庆医科大学第二附属医院，重庆 400000
4.重庆理工大学经济金融学院，重庆 401320
Author(s):
LUO Yong;  PU Chuan;  LIU Yiting;  PENG Yongsong;  PI Xing
School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
关键词:
医疗纠纷; 医疗质量管理; 临床治愈与好转
Keywords:
medical disputes;  medical quality management;  cure and improvement of clinical conditions
分类号:
R197.32
文献标志码:
A
摘要:
目的：探究临床治愈与好转患者发生医疗纠纷的原因，提出加强医疗质量管理的建议。方法：选取某医院156例临床治愈与好转患者的医疗纠纷，分析其中的原因。结果：156例临床治愈与好转患者的医疗纠纷中，源自医方原因（“核对清查不足”“技术操作误伤”“诊疗判断不足”）97例，占62.18%；源自患者自身原因（“疗效未达预期”“医闹”）38例，占24.36%；源自医患双方“医患沟通不足”和“医闹”各占10.2%。结论：提升医务人员技术水平，减少技术操作失误；加强医疗质量安全管理，减少核对清查纰漏；提高医务人员业务素质，减少诊疗判断失误；加强医患沟通技能培训，减少沟通不足纠纷；深化医保支付和医疗服务价格改革，减轻患者费用负担。
Abstract:
Objective To investigate the causes of medical disputes among patients with clinical conditions cured and improved and to put forward suggestions for strengthening medical quality management. Methods We adopted 156 medical dispute cases between patients with clinical conditions cured and improved. Results Among the 156 cases of medical disputes, 97 cases (62.18%) were caused by medical service suppliers, such as insufficient checking, technical misconduct, and inadequate diagnosis. And 38 cases (24.36%) were caused by patients themselves, including unmet medical expectations and medical disturbance. In addition, the lack of communication between doctors and patients and medical disturbance accounted for 10.2% respectively. Conclusion It is recommended to improve the technical skill of medical personnel to reduce technical operation errors, strengthen medical quality and safety management to reduce checking and inspection errors, improve the business quality of medical personnel to reduce diagnosis and treatment errors, strengthen the training of doctor-patient communication skills to reduce communication disputes, and deepen the reform of medical insurance payment and medical service prices to reduce patients' cost burden.

参考文献/References:

[1] 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.
[2] 殷璐，曾日红.三甲医院医疗纠纷发生现状及影响因素分析[J].卫生经济研究，2019，36 （12）：67-70，74.
[3] 李欣慧，李明，王晶.医方视角下医疗纠纷的潜在因素分析——基于北京市某三甲医院213例预警案例的回顾[J].医学与社会，2021，34（4）：72-77.
[4] 刘洪雷，袁江帆.24例无明显医疗过错产科医疗纠纷案件医患沟通因素研究[J].中国医院，2018，22（9）：71-73.
[5] 刘璐宁，马慧琼，孟续铎.“健康中国”战略下公立医院医生过劳现状和影响因素研究[J].卫生经济研究，2021，38（3）：32-36.

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更新日期/Last Update: 2022-11-24