医鉴工作中医疗争议的构成分析  

Analysis of the Composition of Medical Disputes in Medical Appraisal Work

作　　者：徐瑛 邓恒兵 覃玉姬 覃德线 XU Ying;DENG Hengbing;QIN Yuji;QIN Dexian(Beihai City Health Promotion Center,Beihai,Guangxi Zhuang Autonomous Region,536000 China;Secretariat of the Guilin Branch of the Chinese Medical Association,Guilin,Guangxi Zhuang Autonomous Region,541004 China;Baise Medical and Health Association,Baise,Guangxi Zhuang Autonomous Region,533000 China;Guigang Medical Association,Guigang,Guangxi Zhuang Autonomous Region,537100 China)

机构地区：[1]北海市卫生健康促进中心,广西北海536000 [2]中华医学会桂林市分会秘书处,广西桂林541004 [3]百色市医药卫生学会,广西百色533000 [4]贵港市医学会,广西贵港537100

出　　处：《中国卫生产业》2021年第14期176-180,共5页China Health Industry

摘　　要：目的帮助医疗管理部门更好地制定各项医疗纠纷预防措施。方法在2017年1月—2020年1月间,汇总该地区医疗事故技术鉴定中心收集已明确鉴定结论的283例医疗事故技术鉴定案例,对其开展横断面研究。结果在医疗事故技术鉴定的283例案例当中,被鉴定为医疗事故为131例(46.29%);而在131例医疗事故当中,共有308项被认定为医疗过失行为。把科室划分成非手术科室、手术科室与辅助科室,其中,医疗过失行为占比最高的是手术科室(81.17%)。在非医疗事故的152例中,尽管都没有被认定为医疗事故,但共有99项医疗缺陷。在所涉及的存在医疗纠纷的131家首诊医疗机构当中,被鉴定承担主要责任的占比最高,即53家(40.46%)。在非医疗事故中不属于医疗事故的各种原因当中,占比最高的是疾病自然转归,占比52.63%。其次为并发症,占比20.39%。结论分析医疗争议的构成特征,能为强化医疗质量,提高医疗管理水平,指明方向,提供支撑。Objective To help medical management departments better formulate various preventive measures for medical disputes.Methods From January 2017 to January 2020,283 medical malpractice technical appraisal cases with clear conclusions collected by the medical malpractice technical appraisal center in the region were collected and cross-sectional research was carried out.Results Among the 283 cases of medical malpractice technical appraisal,131 cases(46.29%)were identified as medical malpractice;among 131 cases of medical malpractice,a total of 308 cases were identified as medical negligence.The departments were divided into non-operating departments,operating departments and auxiliary departments.Among them,the operating department had the highest proportion of medical negligence(81.17%).Among the 152 cases of non-medical malpractice,although none were recognized as medical malpractice,there were a total of 99 medical defects.Among the 131 first-diagnosed medical institutions involved in medical disputes,the highest proportion was identified as being primarily responsible,which was 53(40.46%).Among the various causes of non-medical malpractice that do not belong to medical malpractice,the natural outcome of the disease accounted for the highest proportion,which was 52.63%,Complications followed,accounting for 20.39%.Conclusion Analyzing the constitutional characteristics of medical disputes can provide support for strengthening medical quality,improving medical management level,and pointing out the direction.

关 键 词：医疗事故鉴定 医疗事故 医疗争议 构成 

分 类 号：R19[医药卫生—卫生事业管理]