药品不良反应伤害中相关责任方补偿特征分析  

Analysis of compensation characteristics of responsible parties for adverse drug reactions

作　　者：黄登笑[1,2] 盛红彬[2] 黄淇敏[2] 

机构地区：[1]上海交通大学安泰经济与管理学院,上海200052 [2]上海交通大学医学院附属第三人民医院医务部,上海201900

出　　处：《上海交通大学学报（医学版）》2011年第7期1017-1021,共5页Journal of Shanghai Jiao tong University:Medical Science

基　　金：上海市教委基金(09YS109);上海市宝山区科委基金(08-E-2)~~

摘　　要：目的探讨药品不良反应(ADR)中相关责任方对最低伤害补偿级别的选择,并分析其特征。方法采用问卷调查法调查ADR相关责任方药品生产企业(n=260)、政府管理部门(n=115)、药品销售与使用单位(医疗机构)(n=125)对ADR最低伤害补偿级别的选择以及对7级以上损害的补偿额度,并比较三者选择的差异。结果共回收问卷480份,回收率为96.0%;有效问卷467份,有效率93.4%。调查显示,选择第7级作为补偿起付点的最多,为81家(17.34%);选择死亡为补偿起付点的5家(1.07%)。伤害越重补偿额越高,死亡最高补偿额为30万元;其中从第4级到第3级时,各相关责任方的补偿意愿有明显的增长趋势,但对较轻伤害的补偿存在歧义。将选择的补偿级别排成序列进行检验,发现相关责任方对于补偿起付级别选择的趋势分布差异有统计学意义(P<0.05)。结论相关责任方均认为受ADR伤害者应该得到相应的经济补偿,不同伤害程度应给予不同补偿数额;但在补偿的起付级别上存在差异。各相关责任方均认为在伤害较低级别时,经济补偿的意义不大;重点应关注对伤害较重患者的经济补偿。Objective To investigate the selection of lowest grade of injury in compensation of adverse drug reactions(ADR) for responsible parties,and analyse the characteristics. Methods The selection of lowest grade of injury in compensation of ADR and the amount of compensation for injury higher than grade 7 were investigated among responsible parties of pharmaceutical manufacturers(260 units),government departments(115 units) and medical institutions(125 units) by questionnaire survey,and comparisons were made among these three parties. Results A total of 480 questionnaires were recovered,with the recovery rate of 96.0%.There were 467 effective questionnaires,and the effective rate was 93.4%.Most units(n=81,17.34%) chose grade 7 as the lowest grade in compensation,and 5 units(1.07%) only compensated for death of ADR.More severe injury led to larger amount of compensation,and the largest amount of compensation for death was 300 thousand RMB yuan.The willingness of compensation significantly increased in all parties when the severity of injury increased from grade 4 to grade 3.However,there were disparities among parties in compensation for slight injury.There were significant differences in the distributions of lowest grade of injury in compensation among three parties(P<0.05). Conclusion Responsible parties for ADR may provide compensation for the injured,and the amount of compensation may vary according to the severity of injury.There exist disparities in the lowest grade of injury in compensation among different parties.All parties lay emphasis on the severely injured rather than the slightly injured.

关 键 词：药品不良反应 伤害 补偿特征 

分 类 号：R95[医药卫生—药学]