基于德尔菲法的医疗纠纷严重性评价指标体系构建  

Construction of evaluation index system of medical dispute severity based on Delphi method

作　　者：卜涛 付卫华[1] Bu Tao;Fu Weihua(Medical Seruice Reception Office,Fudan University,Shanghai 20001,China)

机构地区：[1]复旦大学附属妇产科医院,上海200011

出　　处：《中国卫生法制》2023年第1期118-121,113,共5页China Health Law

摘　　要：目的:系统梳理我院影响医疗纠纷处理的关键指标,对各指标进行科学分析,明确医疗纠纷的严重程度。方法:通过文献分析遴选出关键指标,在此基础上运用两轮德尔菲法对指标进行打分和优化。结果:构建一套包括来访人数、损害后果、责任程度、索赔金额、维权手段和舆情的6个一级指标以及22个二级指标的医疗纠纷严重性评价指标体系,作为有效处理医疗纠纷的基础。结论:根据对医疗纠纷严重性的评分结果,进行针对性讨论,并提出对策意见。构建完善的医疗纠纷严重性评价指标体系,可以有效处理各类医疗纠纷,化解医患矛盾,维护诊疗秩序,给患者提供良好的就医体验。Objective: To systematically sort out the key indicators affecting the handling of medical disputes in our hospital, scientifically analyze each indicator, and clarify the severity of medical disputes. Methods: The key indexes were selected through literature analysis. On this basis, the indexes were scored and optimized by two rounds of Delphi method. Results: A set of evaluation index system for the severity of medical disputes was constructed, including 6 first-class indexes including the number of visitors, damage consequences, degree of responsibility, amount of claim, means of safeguarding rights and public opinion, and 22 second-class indexes, which was used as the basis for effectively handling medical disputes. Conclusion: According to the scoring results of the severity of medical disputes, targeted discussions were carried out and countermeasures were put forward. Constructing a perfect evaluation index system of the severity of medical disputes can effectively deal with all kinds of medical disputes, resolve doctor-patient contradictions, maintain the order of diagnosis and treatment, and provide patients with a good medical experience.

关 键 词：医疗纠纷 德尔菲法 指标体系 

分 类 号：D902[政治法律—法学理论]