郑州市3所医院医疗纠纷分布规律  

Analysis of medical dispute distribution in 3 hospitals of Zhengzhou

作　　者：杨筱青[1] 郭华峰[1] 画宝勇[2] 

机构地区：[1]郑州市妇幼保健院,郑州450012 [2]郑州大学公共卫生学院劳动卫生学教研室,郑州450001

出　　处：《郑州大学学报（医学版）》2013年第3期391-394,共4页Journal of Zhengzhou University(Medical Sciences)

基　　金：河南省卫生厅卫生政策重点研究课题基金资助项目YWZYZ2011008

摘　　要：目的:了解医院医疗纠纷的分布规律,为医院有效预防和处理医疗纠纷提供参考依据和建议。方法:自行设计调查问卷,采用分层随机整群抽样的方法,对郑州市省、市、区级医院各1所进行问卷调查。结果:3所医院医疗纠纷发生率总计为30.0%(208/693)。不同性别、工龄、学历、职称、科室的医生医疗纠纷发生率差异均有统计学意义(χ2=20.513、14.461、12.996、23.883和34.411,P<0.05)。男医生的医疗纠纷发生率高于女医生,工龄≥5a的医生医疗纠纷发生率大于工龄<5a者,本科学历的医生医疗纠纷发生率高于其他学历者,住院医师医疗纠纷发生率低于职称较高的医生,外科、妇产科、内科和儿科医疗纠纷发生率较高(P<0.001)。结论:应对医疗纠纷高发特征医务人员和高发科室全面加强管理,以便有效预防和处理医疗纠纷。Aim ：To explore the character of medical dispute distribution. Methods ： The incidence of medical dispute in 3 hospitals in Zhengzhou city was surveyed by questionnaire. Results： The total incidence： of medical dispute in the 3 hospitals was 30.0% （ 208/693 ）. The incidence of medical dispute of the medical personnel with different gender, working time, education levels, professional title, and departments was different statistically （X2 = 20.513,14.461,12. 996,23. 883, and 34. 411 ,P 〈 0.05 ）. The incidence of the medical personnel of male, with working time 〉 5 a, or bachelor degree, or with higher professional title,or working in departments of surgery, gynaecology and obstetrics,internal medicine and paedi- attics were higher（P 〈0.001）. Conclusion： The management of the medical personnel and medical department with the character of medical dispute should be strengthened.

关 键 词：医疗纠纷 医院管理 问卷调查 

分 类 号：R197.32[医药卫生—卫生事业管理]