CAJ | 학술논문

目的通过对山东省某医院医患双方对医疗纠纷认知情况的调查，了解该医院医疗纠纷的现状，结合新的医药卫生改革体制要求，寻求预防及减少其发生的对策，为完善医院管理制度、构建和谐的医患关系提供决策依据。方法采用单纯随机抽样的方法对山东省某医院医患双方对医疗纠纷认知情况进行调查，并对其进行统计分析，对结果均采用Likert五级评分法进行分析。结果调查结果显示，目前医患关系紧张仍然是医患双方不得不面临的问题，不同群体对医疗纠纷产生的原因和可能的解决办法认知不同，医务人员认为技术水平、媒体的不客观报道、医疗费用是产生医疗纠纷的主要原因；但患方则认为服务态度、医疗费用是产生医疗纠纷的主要原因。结论目前医院医患关系紧张问题的解决需要医方、患方共同的努力，患者和医生的相互信任、尊重、沟通和理解是改善医患关系的基础，同时，改善服务态度、加强医院及科室内部的管理及完善相应的法律法规也是防范医疗投诉的重要措施。
목적통과대산동성모의원의환쌍방대의료규분인지정황적조사，료해해의원의료규분적현상，결합신적의약위생개혁체제요구，심구예방급감소기발생적대책，위완선의원관리제도、구건화해적의환관계제공결책의거。방법채용단순수궤추양적방법대산동성모의원의환쌍방대의료규분인지정황진행조사，병대기진행통계분석，대결과균채용Likert오급평분법진행분석。결과조사결과현시，목전의환관계긴장잉연시의환쌍방불득불면림적문제，불동군체대의료규분산생적원인화가능적해결판법인지불동，의무인원인위기술수평、매체적불객관보도、의료비용시산생의료규분적주요원인；단환방칙인위복무태도、의료비용시산생의료규분적주요원인。결론목전의원의환관계긴장문제적해결수요의방、환방공동적노력，환자화의생적상호신임、존중、구통화리해시개선의환관계적기출，동시，개선복무태도、가강의원급과실내부적관리급완선상응적법율법규야시방범의료투소적중요조시。
Objective Through the research on the medical dispute current situation investigation and countermeasure analysis in Shandong Province to understand the medical dispute current situation, seeking the measures to prevent and reduce the occurrence combined with the new medical reform system requirements, to improve hospital management system and construct harmonious relationship between doctors and patients. Methods Investigating and statistical analyzing the doctor-patient recognition on medical dispute case by using simple random sampling method and the results are used in Likert level five grade analysis method. Results We found that the strained relations relationship between the doctor and the patient was still a problem, different groups’ cognition was different on the causes of medical dissensions and possible solutions, it was the primary causes in medical staff standpoint that technology level, media’s objective reporting and medical costs; but the medical disputes thought that the primary causes about the dispute between the doctors and the patient was the attitude, medical costs. Conclusion It was necessary that doctors and the patients should joint efforts, mutual trust, respect, communication and understanding in order to relive the strained relations relationship between the doctor and the patient, at the same time, improving the service attitude, enhancing hospital and Department of internal management and improving the relevant laws and regulations and also to prevent medical complaints important measure.