医疗纠纷对医师防御性医疗行为影响的实证研究  

Practical Analysis of the Influence of Medical Dispute on Defensive Medicine Behavior of Physicians

作　　者：曹志辉[1,2] 陈丽丽[2] 

机构地区：[1]北京大学公共卫生学院,北京100083 [2]河北联合大学管理学院,河北唐山063000

出　　处：《中国医院管理》2014年第9期9-11,共3页Chinese Hospital Management

基　　金：国家自然科学基金项目(71373066);河北省高等学校社科研究2012年度基金项目(SQ121012)

摘　　要：目的描述和分析医疗纠纷对医师防御性医疗行为的影响。方法以河北省某医院的375名临床医师为调查对象,利用Mann Whittney U法和多元逐步回归分析等方法对数据进行统计分析。结果 82.9%的医生表示医患纠纷对诊疗工作的影响非常大或较大,临床医生的防御性医疗行为平均得分高达14.8分,最近2年亲身遭遇过医疗纠纷的医师防御性医疗行为得分高于未遭遇过医疗纠纷的医师。结论面对越来越大的医疗纠纷和诉讼压力,临床医生普遍采取防御性医疗行为,且防御性医疗行为的程度较高。医生的医疗纠纷遭遇是防御性医疗行为严重程度的独立影响因素。Objective To describe and analyze the influence of medical dispute on defensive medicine. Method A sur- vey of 375 doctors from a hospital in Hebei Province was conducted. Mann Whittney U and multiple linear regression model were used in the research. Result 82.9% of physicians believe that the impact of medical disputes on the diag- nosis and treatment is very large. The average score of DM is 14.8 points. The doctors who personally encountered medical disputes in the last two years are higher than the doctors without medical disputes in DM scores. Conclusion Facing the increasing pressure of medical disputes and litigation, clinicians have generally adopted defensive medi- cine, and the levels of DM are relative high. The experience of medical dispute is independent risk factor of DM.

关 键 词：医疗纠纷 防御性医疗 危险因素 

分 类 号：R197.323[医药卫生—卫生事业管理]