CAJ | 학술논문

目的：探讨医疗纠纷发生的原因，提出相应的防范对策和建议，以期提高医院的管理水平。方法采用回顾性流行病学调查方法，对上海市某综合性医院2011-2013年的273例医疗纠纷进行分析。结果医疗纠纷涉及的主要人员中副高职称以上者占56．8％；外科医疗纠纷发生的比率最高，为40．3％，其次是内科，为27．8％；医源性投诉的比例最高，为72．2％，其中因服务态度导致的医疗纠纷比例为34％；医疗纠纷的处理以选择协商途径的比例最高，为89．7％。结论医源性投诉是医疗纠纷的主要原因，其中服务态度引发的医疗纠纷比率最高。为有效预防医疗纠纷的发生，应加大科室管理力度，健全和落实各项医疗规章制度，引入人民调节机制，积极借鉴国外相关医患矛盾处理制度，提高医疗技术水平和服务质量。
목적：탐토의료규분발생적원인，제출상응적방범대책화건의，이기제고의원적관리수평。방법채용회고성류행병학조사방법，대상해시모종합성의원2011-2013년적273례의료규분진행분석。결과의료규분섭급적주요인원중부고직칭이상자점56．8％；외과의료규분발생적비솔최고，위40．3％，기차시내과，위27．8％；의원성투소적비례최고，위72．2％，기중인복무태도도치적의료규분비례위34％；의료규분적처리이선택협상도경적비례최고，위89．7％。결론의원성투소시의료규분적주요원인，기중복무태도인발적의료규분비솔최고。위유효예방의료규분적발생，응가대과실관리력도，건전화락실각항의료규장제도，인입인민조절궤제，적겁차감국외상관의환모순처리제도，제고의료기술수평화복무질량。
Objective To explore the reasons of medical disputes and put forward some countermeasures and advice in order to enhance the management level of hospital.Methods Survey method of retrospective epide-miology was used to analyze 273 medical dispute cases of one comprehensive hospital from 2011 to 2013 in Shang-hai .Results Most of the medical staff involved in the medical disputes were senior employees. The ratio of medi-cal disputes of surgery departments was 40.3%, it took the first place in all departments.This ratio of internal medical department took the second place, it was 27.8%.The ratio of medical dispute caused by hospital factors took the first place, it was 72.2%.In all medical dispute factors, the ratio caused by service attitude of medical staff was 34%.89.7%of medical dispute cases were resolved through consultation.Conclusions The main rea-son of medical dispute was hospital factors.The ratio of medical disputes caused by service attitude took the first place.In order to prevent medical dispute effectively, we should enhance hospital management, and implement medical system, and introduce the system of people mediation, and refer to the relative systems of other countries, and improve medical technology and service quality.