新医改背景下山东省某医院医疗纠纷现状的调查及对策研究  

Research on the Medical Dispute Current Situation Investigation and Countermeasure Analysis in Shandong Province Under the background of the New Medical and Health System Reform

作　　者：何晓敏[1] 殷程程[1] 

机构地区：[1]滨州医学院,烟台市264003

出　　处：《中国卫生信息管理杂志》2015年第5期541-546,共6页Chinese Journal of Health Informatics and Management

基　　金：山东高校人文社科研究基地课题(项目编号:13-rwllkt002);滨州医学院校级课题(项目编号:JYKT201256)

摘　　要：目的通过对山东省某医院医患双方对医疗纠纷认知情况的调查,了解该医院医疗纠纷的现状,结合新的医药卫生改革体制要求,寻求预防及减少其发生的对策,为完善医院管理制度、构建和谐的医患关系提供决策依据。方法采用单纯随机抽样的方法对山东省某医院医患双方对医疗纠纷认知情况进行调查,并对其进行统计分析,对结果均采用Likert五级评分法进行分析。结果调查结果显示,目前医患关系紧张仍然是医患双方不得不面临的问题,不同群体对医疗纠纷产生的原因和可能的解决办法认知不同,医务人员认为技术水平、媒体的不客观报道、医疗费用是产生医疗纠纷的主要原因;但患方则认为服务态度、医疗费用是产生医疗纠纷的主要原因。结论目前医院医患关系紧张问题的解决需要医方、患方共同的努力,患者和医生的相互信任、尊重、沟通和理解是改善医患关系的基础,同时,改善服务态度、加强医院及科室内部的管理及完善相应的法律法规也是防范医疗投诉的重要措施。Objective Through the research on the medical dispute current situation investigation and countermeasure analysis in Shandong Province to understand the medical dispute current situation, seeking the measures to prevent and reduce the occurrence combined with the new medical reform system requirements, to improve hospital management system and construct harmonious relationship between doctors and patients. Methods Investigating and statistical analyzing the doctor-patient recognition on medical dispute case by using simple random sampling method and the results are used in Likert level five grade analysis method. Results We found that the strained relations relationship between the doctor and the patient was still a problem, different groups’ cognition was different on the causes of medical dissensions and possible solutions, it was the primary causes in medical staff standpoint that technology level, media’s objective reporting and medical costs; but the medical disputes thought that the primary causes about the dispute between the doctors and the patient was the attitude, medical costs. Conclusion It was necessary that doctors and the patients should joint efforts, mutual trust, respect, communication and understanding in order to relive the strained relations relationship between the doctor and the patient, at the same time, improving the service attitude, enhancing hospital and Department of internal management and improving the relevant laws and regulations and also to prevent medical complaints important measure.

关 键 词：新医改 医疗纠纷 对策研究 

分 类 号：R197.323.4[医药卫生—卫生事业管理] R34[医药卫生—公共卫生与预防医学]