浅析医疗风险防范中的医师自卫性医疗行为  

The defensive medicine of physicians in precaution of medical risk

作　　者：马海泉[1] 程红群[1] 李贵堂[1] 

机构地区：[1]解放军总医院第三0九临床部医务部,北京市100091

出　　处：《中国基层医药》2007年第1期169-170,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨医疗风险防范策略。方法阐述分析医师自卫性医疗行为产生的社会学成因及自卫性医疗行为给患者、医师、社会、医疗卫生事业带来的弊端。结果医疗风险的诉讼率增高及保险配套机制等不健全是自卫性医疗行为的重要成因，其后果直接导致过度医疗和推诿患者的现象，也阻碍了医疗技术水平的提高。结论自卫性医疗行为是医务人员在医患关系变革和重构过程中的一种非正常心态。加强医师职业道德教育，健全医疗制度、医疗职业保险制度极其有意义。Objective To explore the anti-strategy of medical risk management. Methods Social causes of defensive medicine and the kickback to suffers, physicians, and society were analyzed. Results The increased medical sue rate and incomplete insurance system were main factors of defensive medicine which leaded to excess medical consumption, and even blocked the advancement of medical technology. Conclusion Defensive medicine is a kind of abnormal medical behavior. This phenomena results in the disharmony relationship between doctors and patients. Perfcet medical rule and insurance system are very important.

关 键 词：降低风险行为 医生病人关系 医务人员权利 医师诊疗模式 

分 类 号：R197[医药卫生—卫生事业管理]