产科领域医疗纠纷的成因和防范对策

Analysis of Medical Dissension Reason in Maternity Department

文章分析了产科领域发生医疗纠纷的社会原因、经济原因和医源性因素。社会原因包括民众苛求医疗,对产科风险缺乏足够认识、医疗期望值过高,社会舆论导向错误和医疗举证责任倒置的影响;经济因素包括不同等级医院的价格竞争打烂了医疗秩序,医院间产生利益冲突,以及产妇及其家属企图以纠纷方式既要医院提供治疗,又不想支付医疗费用。纠纷发生的医源性因素包括产科医师存在自身技术缺陷,医务人员服务意识差,缺乏人文关怀,科室管理不规范,制度不落实,而科室间协作差,诊断意见不统一是重要的医源性因素。加强医院管理,规范医疗行为,提高医疗技术,强化质量意识,履行告知义务,完善医疗文书,加强人文关怀仍是产科避免纠纷的有效方法。

The article analyses the medical dissension reason in maternity department. The reasons comprise three causes ：the social factor,the economic factor and the nosocomial factor included. Making excessive demands,laking the cognition of medical hazard,exorbitant expectation ,oriented falsity of consensus and onus proof conversion were the the social factor.Conflict of interest between hospitals and patients was the economic factor.Skill defect,bad service consciouseness of medical personnel, and deficient in humanistic solicitude were the nosocomial factor.