医患纠纷宜采用和落实“预防在先、化解在早”的治理方针  

Medical Disputes Should Adopt and Implement the Governance Principle of“Prevention-Oriented,Early-Resolution”

作　　者：汤啸天[1] 杨雯[2] Tang Xiaotian;Yang Wen(Shanghai University of Political Science and Law,Shanghai,201701,China;East China University of Political Science and Law,Shanghai 200042,China)

机构地区：[1]上海政法学院,上海201701 [2]华东政法大学,上海200042

出　　处：《卫生法学》2025年第1期25-34,共10页Health Law

基　　金：国家社会科学基金重大项目“国民卫生健康治理法治化研究”(20&ZD187);中国卫生法学会和四川医事法中心项目“公共卫生法预防为主原则的理论阐释与实现机制”(YF24-Q30)。

摘　　要：当前我国医患纠纷产生的主要原因在于社会成员间的利益冲突,医患互信关系的缺失,公众对医疗行为内在风险性认识不足,以及公民利益表达渠道不够通畅等。医患纠纷治理的关键在于预防,应遵循“预防在先、化解在早”的治理方针,这既是“枫桥经验”在医患纠纷治理上的体现,也是治理手段科学理性的具体要求。为此,应当由医方主动为就诊人购买保险,完善医院安全防范预警系统,推行医院安全检查制度,规范医方诊疗行为,畅通公民举报渠道,动员社会各方面力量以进一步推动我国医疗卫生事业发展,真正落实医患纠纷“减生”机制建设。The primary causes of medical disputes in China at present from conflicts of interest among social groups,a lack of mutual trust between doctors and patients,insufficient public understanding of the inherent risks in medical procedures,and inadequate channels for citizens to express their concerns.The key to effectively managing medical disputes lies in prevention,guided by the principle of“Prevention-Oriented,Early-Resolution”.This approach not only reflects the“Fengqiao experience”in managing medical disputes but also aligns with the scientific and rational requirements of governance methods.Therefore,it is essential for medical institutions to take the initiative in purchasing insurance for patients,improving hospital safety and early warning systems,implementing regular safety inspections,standardizing medical practices,and facilitating citizen reporting channels.Mobilizing all sectors of society to support the development of the healthcare system will further advance the reduction of medical disputes,ensuring the establishment of a mechanism that truly minimizes their occurrence.

关 键 词：医患纠纷 预防在先 化解在早 枫桥经验 多元解纷机制 风险预警 

分 类 号：D922.16[政治法律—宪法学与行政法学]