三级医院医疗纠纷赔偿的医务人员分摊机制探索  

Research on Apportioning Mechanism of Compensation by Medical Staff for Medical Disputes in Tertiary Hospitals

作　　者：吴国安 王怡[1] 刘诗卉[1] 陈伟[1] 汪蓓[1] Wu Guo'an;Wang Yi;Liu Shihui(不详;Beijing Jishuitan Hospital,Beijing,100035,China)

机构地区：[1]北京积水潭医院,北京100035

出　　处：《中国医院管理》2023年第9期72-74,共3页Chinese Hospital Management

摘　　要：三级医院在提供高水平医疗服务的过程中,时常不可避免地发生医疗纠纷而产生经济赔偿。对于赔偿金额如何与医务人员进行分摊,提出建立三阶递减的分摊机制、落实防范措施与减少分摊比例的联动机制。建立该机制的目的是进一步强化医务人员的质量安全责任,充分保护其工作积极性,并引导其主动采取防范措施,从而减少医疗纠纷和提高医疗质量。该机制在北京积水潭医院运行1年来,医疗纠纷数量增长率明显低于业务量增长率。In the process of providing high--level medical services,medical disputes often and inevitably occur in tertiary hospitals which lead to compensation payments.For how the amount of compensation could be apportioned among medical staff,it proposed to establish a 3-descending-order apportioning mechanism,and a linkage be tween implementing precautions against medical disputes and decreasing apportioning proporion of compensation.The purpose of establishing the mechanism is to further strengthen the responsibility of medical staff for quality safe-ty,to fully keep their enthusiasm for the work,and to guide them to take preventive actions proactively,thereby re-ducing medical disputes and improving the quality of medical treatment.During the 1-year operation of this mecha-nism in the Beijing Jishuitan Hospital,the number of new medical disputes has decdined significantly.

关 键 词：医疗纠纷 赔偿 分摊机制 

分 类 号：R197.323.4[医药卫生—卫生事业管理]