CAJ | 학술논문

目的：探索医疗纠纷发生的特点和规律’为医疗机构防范医疗纠纷提供参考依据。方法运用一般描述性统计分析方法从纠纷数量年度分布、纠纷个案赔偿金额分布、纠纷在各医疗机构分布、纠纷所涉科室分布、纠纷患者性别、年龄以及纠纷原因构成这七个方面进行分析。结果医疗纠纷数量平稳’三级医院成为“重灾区”；“经济赔偿”是化解纠纷的关键’且以“1~10万元”赔款最为常见；外科是医疗纠纷最为频发的科室；老年患者和少儿患者是医疗纠纷多发人群；对诊疗效果的不满是医疗纠纷的“导火索”。结论三级医院应该加强医疗纠纷防范意识’强调“患者参与”的服务理念；对重点科室及重点人群进行重点防范；提高医护人员专业技术水平和与患者有效沟通的水平；增强医疗纠纷人民调解机制的公信力。
목적：탐색의료규분발생적특점화규률’위의료궤구방범의료규분제공삼고의거。방법운용일반묘술성통계분석방법종규분수량년도분포、규분개안배상금액분포、규분재각의료궤구분포、규분소섭과실분포、규분환자성별、년령이급규분원인구성저칠개방면진행분석。결과의료규분수량평은’삼급의원성위“중재구”；“경제배상”시화해규분적관건’차이“1~10만원”배관최위상견；외과시의료규분최위빈발적과실；노년환자화소인환자시의료규분다발인군；대진료효과적불만시의료규분적“도화색”。결론삼급의원응해가강의료규분방범의식’강조“환자삼여”적복무이념；대중점과실급중점인군진행중점방범；제고의호인원전업기술수평화여환자유효구통적수평；증강의료규분인민조해궤제적공신력。
Objective: To explore the characteristic and pattern of medical disputes, so that to provide the basis for medical institutions to prevent medical disputes. Methods: General descriptive statistical analysis was performed to analyze seven aspects, including the number of annual disputes, distribution of compensation amount per case, distribution to various medical institutions, distribution to different departments involved in disputes, gender of patients, age of patients, and cause of disputes. Results: The number of medical disputes was stable, tertiary hospital was “disaster zone”; “economic compensation” was the key point to disputes resolution with indemnity number ranged mainly from 1 to 100 000 Yuan; the department of surgery ranked top 1 in frequency; elderly and children patients were the main group involved in dispute; dissatisfaction with the effect of diagnosis and treatment was the “fuse” to medical disputes. Conclusion: Tertiary hospitals should strengthen consciousness of prevention to medical disputes, emphasize on the service idea of participation by the patient, pay attention on the prevention to key departments and key crowds, improve the level of professional technique and the ability of communication with patients, and enhance the credibility of medical dispute mediation mechanism.