实施医师驾照式管理对医患纠纷的影响  

Analysis of Implementing a Physician Licensing Management System on Doctor-patient

作　　者：高琴[1] 陈艳[1] 李浩[1] 李海俊[1] GAO Qin;CHEN Yan;LI Hao;LI Haijun(Medical Department,Taizhou People's Hospital,Taizhou 225300,China)

机构地区：[1]泰州市人民医院医务处,江苏泰州225300

出　　处：《医学与哲学》2024年第15期58-63,共6页Medicine and Philosophy

基　　金：2023年江苏省医院协会医院管理创新研究课题(JSYGY-3-2023-177)。

摘　　要：应用SPSSAU(在线SPSS分析软件)分析某三甲综合医院实施医师驾照式管理前后,责任人为医生的685例医患纠纷数据,为各医院纠纷管理提供参考。研究发现,实施医师驾照式管理后,医患纠纷发生率、责任人为医生的纠纷占比均显著下降;各类原因(患者因素除外)引发的纠纷占比均显著下降;与医师驾照式考核内容直接相关的纠纷成因占比均显著下降;上级转办和网络途径受理的纠纷占比、调解和诉讼方式解决的纠纷占比以及赔偿纠纷占比均显著下降。由此可知,实施医师驾照式管理可有效降低医患纠纷发生,同时可促使纠纷平稳、低成本、高效解决。Using SPSSAU(an online SPSS analysis software),this study analyzes data from 685 doctor-patient disputes where the responsible party was the doctor,collected from a tertiary-A general hospital before and after the implementation of a physician licensing management system,and provides reference of dispute management in hospitals.The research has found that after the implementation of the physician licensing management system,the incidence of doctor-patient disputes and the proportion of disputes involving doctors as the responsible parties have all decreased significantly.Furthermore,the proportion of disputes caused by various reasons(excluding patient factors)has decreased significantly.The proportion of disputes handled through higher-level referrals and online channels,as well as those resolved through mediation and litigation,and the proportion of compensation-related disputes,all showed significant decreases.Therefore,it is evident that implementing a physician licensing management system can effectively reduce the occurrence of doctor-patient disputes,and promote their stable,low-cost,and efficient resolution.

关 键 词：医师驾照式管理 医患纠纷 纠纷赔付 

分 类 号：R-05[医药卫生]