79例疑似预防接种异常反应疫苗纠纷案例分析——以司法裁判文书为视角  被引量:3

A Case Study of 79 Vaccine Disputes of Adverse Event Following Immunization—— From the Perspective of Judicial decision documents

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作  者:张彩霞[1,2] 谭妙婵 温菊香 Zhang Caixia;Tan Miaochan;Wen Juxiang(Guangzhou University of Chinese Medicine,Research Center of Guangdong Province for Health Services and Industrial Development of Traditional Chinese Medicine,Guangzhou 510006,China)

机构地区:[1]广州中医药大学经济与管理学院,广州510006 [2]广东省中医药健康服务与产业发展研究中心,广州510006

出  处:《中国卫生法制》2020年第1期27-34,共8页China Health Law

摘  要:目的:了解疑似预防接种异常反应疫苗纠纷的基本情况,分析纠纷发生原因并提出针对性建议,以便预防和减少接种事故、预防接种异常反应疫苗纠纷的发生。方法:在无讼网上检索并筛选符合条件的民事判决书,将其关键信息录入EXCEL数据库并进行标准化处理,对数据进行统计和分析。结果:79例预防接种异常反应疫苗纠纷中,属于预防接种不良反27例,占全部纠纷数的34.18%;偶合症16例,占20.25%;接种事故12例;占15.19%;疫苗质量事故1例,占1.27%;不属于预防接种异常反应23例,占29.11%。其中,75例疫苗来源于合法正规渠道,71例疫苗质量合格。结论:我国正规渠道来源的疫苗安全性非常高,发生预防接种异常反应和接种过错概率非常低;预防接种异常反应及接种事故多发生于1岁以下婴儿和6岁以下儿童;预防接种人员专业素质有待提高;预防接种异常反应补偿制度有待完善和创新。建议加大疫苗安全和免疫接种知识的宣传力度、加强医护人员业务培训和人才队伍建设、规范预防接种工作流程和技术操作规范、完善和创新预防接种异常反应补偿制度。Objective:To understand the overall situation of the vaccine disputes of Adverse Event Following Immunization(AEFI),to analyze the cause of the vaccine disputes and then to give some suggestions on how to prevent and reduce AEFI vaccine disputes.Methods:Firstly,civil judgments of vaccine disputes were searched on the web site of https:∥www.itslaw.com/.Secondly,the key information of these vaccine disputes was entered into the EXCEL database and then standardized,and the data were statistically analyzed.Results:Among the 79 Vaccine Disputes of AEFI,27 disputes belong to adverse reaction,which accounting for 34.18%of all disputes;16 disputes belong to coincidental event,20.25%of all disputes;12 disputes belong to preventive inoculation accident,15.19%of all disputes;1 dispute belongs to vaccine quality accident,1.27%of all disputes;and the remaining 23 disputes belong to non-adverse-reaction,29.11%of all disputes.Among the 79 Vaccine Disputes of AEFI,the vaccines of 75 disputes came from formal and legal channels,71 of which were with good quality.Conclusion:Vaccines from the legal formal channels in China is very safe,and the probability of adverse reaction and preventive inoculation accident are very low.The adverse reaction and preventive inoculation accidents occurred mostly in infants under 1 year old and children under 6 years old.The professional ability of the immunization personnel needs to be improved,and the compensation system of adverse reaction of vaccine needs to be improved and innovated.It is suggested that the propaganda of vaccine safety and immunization knowledge should be strengthened,the professional training of the immunization personnel and the construction of qualified health personnel should be strengthened,the work flow and technical operation of vaccination should be regulated and standardized,and the compensation system for adverse reaction of vaccine should be perfected and innovated.

关 键 词:疑似预防接种异常反应 疫苗纠纷 异常反应 接种事故 疫苗质量事故 

分 类 号:D902[政治法律—法学理论]

 

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