口腔颌面外科医疗纠纷的原因分析及对策

Cause Analysis and Strategies of Medical Dispute in Oral and Maxillofacial Surgery Area

目的:探讨口腔颌面外科医疗纠纷发生的原因,提供预防和解决医疗纠纷的对策。方法:统计78例口腔颌面外科门诊和住院发生医疗纠纷的病例,将发生原因、发生后果、解决途径进行分类和分析。结果:病房发生医疗纠纷的概率大于门诊,病房以并发症型和疗效型为主,门诊以其他类型为主;Ⅰ、Ⅱ级医疗纠纷发生比Ⅲ、Ⅳ级纠纷发生多;医疗纠纷的解决方式以化解和协商为主。结论:医疗纠纷是一个复杂多因素引起的医患权益之争,并有逐年上升的趋势,医疗质量控制是预防医疗纠纷发生的根本措施。

Objective： To study the causes of medical disputes in oral and maxillofacial surgery practice, and discuss the prevention and solution methods. Methods： Data of 78 cases in medical disputes, remedied in outpatient department （OPD） or inpatient department（IPD） were reviewed from the causes, solution methods and results. Results： The incidence rate of medical dispute of patients in IPD was higher than that of patients in OPD. The main problems IPD patients complained were about complication and curative effects. While the main problems OPD patients complained were other reasons. Most disputes＇ degree were class Ⅰ and class Ⅱ, and solved by reconcilement. Conclusion： Medical dispute is a staff-patient dispute with complex multiple factors and have a growing trend. Medicine quality control is a key to medical disputes＇ prevention and solution.