45例医疗纠纷情况的分析与防范对策

The Analysis and Counter Measures of 45 Cases of Medical Disputes

目的：了解医疗纠纷的基本特征与情况,探讨防范措施。方法：对2003年、2004年两年中处理的45例医疗纠纷按目的进行分类、汇总整理。结果：医院普外科、骨伤科、妇产科、急诊科为医疗纠纷高发科室,共占医疗纠纷发生总数的57．7％,医疗纠纷处理费用占到全部处理费用的87．6％；医患双方选择协商解决是主要的医疗纠纷处理方式,且医疗纠纷的发生大都与医院自身因素有关,约占68．9％。结论：防范和化解医疗纠纷,维护医患双方的合法权利,缓和医患关系,必须提高医务人员的素质、医疗技术水平和服务质量；加强医院管理,健全和落实各项医疗规章制度；加强医患沟通；增强医务人员的法律观念和维权意识等。

Objective： To know the basic characteristics and situation of medical disputes and try to find the preventive counter measures. Methods：Sum up, subdivide and analyze the 45 eases of medical disputes in the years 2003 and 2004. Results：Medical disputes, 57.7 % of all in a hospital, occur more frequently in the following departments： surgery, bone injury, gynecology ＆ obstetrics and emergency. And they cost 87.6% of the total expense for dealing with the disputes. The most frequently- used way of dealing with the disputes is negotiation between hospitals and the patients. It turns out that the causes of about 68.9 % of the disputes are connected with the qualifications of hospitals＇ personnel. Conclusion： In order to prevent and belittle medical disputes, protect legal rights of the medical workers and patients and ease up the relationship between them, we should encourage medical workers to upgrade their qualifications, improve their med- ical skills and service, enforce hospital＇ s management, perfect and implement various medical rules and regulations, communicate more between medical workers and patients and enhance medical workers＇ ideas of laws and awareness of legal rightprotection.