医疗缺陷构成法律分析  

Jurally Analysis for Medical Imperfection

作　　者：刘慧[1] 黄淇敏[1] 张少明[2] 徐莉[1] 

机构地区：[1]上海交通大学医学院附属第三人民医院质控办,上海201900 [2]上海交通大学医学院附属第九人民医院,上海200011

出　　处：《解放军医院管理杂志》2009年第1期49-51,共3页Hospital Administration Journal of Chinese People's Liberation Army

摘　　要：目的:探析医务人员因违反相关法律法规所造成医疗缺陷的具体原因。方法:统计上海3家三级综合性医院近3年登记在案的医疗缺陷,按法律因素和非法律因素进行分类,再细化法律因素的具体类别并进行卡方检验。结果:医务人员因违反查对制度而引起的医疗缺陷有逐年下降趋势,3年间比较有显著性差异(P<0.05);因违反告知制度所占医疗缺陷比例有逐年上升趋势,也有显著性差异(P<0.05);因病历书写缺陷所造成的纠纷比例基本稳定,无显著性差异(P>0.05);因医院管理问题而违反医疗服务合同所占医疗缺陷比例有逐年下降趋势,但无显著性差异(P>0.05)。结论:医务人员的法律意识相对滞后于患者的维权意识,应加强医务人员医疗法律法规教育,减少医疗缺陷。Objective：To explore the reasons of the medical imperfection caused by the medical staff. Methods： All medical imperfection cases were colleted in three comprehensive hospitals in Shanghai during the past three years, and data were analyzed with Chi -test. Results： There was significant difference in the staff＇s violating the verify institutions and notify institutions in the three years （ P 〈 0.05 ）, and the tendency was decreasing but that of violating the notifying institutions was increasing trend year by year; There is no significant difference in countering the history recording institutions and medical service contracts （ P 〉 0.05 ）. Conclusion： The medical staff＇s awareness of the law fell behind the consciousness of the patients＇ self - protection, so medical workers should pay more attention to the learning of the law.

关 键 词：医疗缺陷 法律 分析 

分 类 号：R197.32[医药卫生—卫生事业管理]