医患关系紧张的风险分析和对策

Risk Analysis and Countermeasures on Intensive Relationship between Doctors and Patients

目的探讨分析目前医患关系紧张的原因,提出相应的应对措施。方法对我市二级院2009年11月至2011年11月20例存在医患关系紧张的病例进行回顾性分析。分析其存在的问题。结果对存在医患关系问题的原因进行分析统计,其中,政府投入不足所占比率最高,为100%,患者及其家属方面比率为75%,其他的政府问题比率平均为55%,医师方面素质不足为20%社会媒体方面为35%,医院方面为45%.与政府投入不足比较,八组之间存在显著差异性(P<0.05),有统计学意义。结论和谐的医患关系是需要政府加大对医疗事业的投入,完善相关法律法规,媒体要发挥正面效应,要规范医院的医疗纠纷处理机制等。

Objectives To observe and analyze the reasons and the countermeasures on intensive relationship between doctors and patients.Methods 20 cases with intensive relationship between doctors and patients in our hospital from November 2009 to November 2011 were analyzed retrospectively,and the existing problems were analyzed.Results The reasons of intensive relationship between doctors and patients were analyzed statistically.The ratio of the lack of government investment was the highest,which was 100%,the ratio of patients and their families aspect was 75%,the ratio of other government issues was 55%,the doctor quality deficiency was 20%,the social media was for 35%,and the hospital was 45%.There was significant difference between the 8 groups compared with the lack of government invest（P〈0.05）,which had statistical significance.Conclusions A harmonious relationship between doctors and patients needs government to increase the health care investment and to perfect the related laws and regulations,and needs the media to exert positive effects,and specify the settlement mechanism of medical disputes of hospital and so on.