医患自我协商解决医疗纠纷的影响因素分析与对策研究

Influencing factors of self-resolved mechanism of medical disputes and recommendations

以往的医患协商共同解决医疗纠纷的方式之所以运行不畅，其核心障碍在于机制运行欠缺稳定性，必要的规则约束的缺乏导致同类事件结果差异巨大。具体表现在医患协商在指导思想、评估决策机制、协商流程和赔偿计算方法方面的高度不确定性。因此，建议以指导思想统一化、评估决策机制第三方化、协商流程标准化、赔偿标准单一化作为提升医患协商机制稳定性的关键对策。

The unsatisfactory operation of the existing mechanism for resolving medical disputes by doctors and patients may be contributed to the instability of this mechanism, as lack of regulation constraints results in huge discrepancies of outcomes between identical cases. Specifically, the uncertainty for doctor-patient consultation in the guidelines, evaluation and decision mechanism, consultation process, and compensation calculation. In this consideration, it is recommended to elevate the mechanism stability of this consultation by means of uniform guidelines, third-party evaluation and decision, standardized consultation process, and unified compensation standard.