医疗信息披露视角下医患纠纷成因与对策分析

Analysis on the causes and countermeasures of medical disputes from the perspective of medical information disclosure

本文运用信息不对称、委托代理、道德风险和逆向选择等信息披露理论工具分析医患纠纷产生的原因,包括:医患之间信息不对称,供给诱导需求现象严重;医患双方利益不一致;医患双方道德风险并存;逆向选择导致医疗服务质量下降等。结合医疗信息披露的现状探讨基于医患纠纷管理需求的医疗信息披露对策:落实信息披露责任;建设医患互评披露平台;披露违规行为,杜绝违规收益;引入竞争机制,完善信息披露;建构信息披露的导向性文化。

This paper uses information asymmetry, principal-agent, moral hazard and adverse selection and other theoretical tools to analyze the causes of disputes between doctors and patients： information asymmetry exists between doctors and patients, and the supply-induced demand is serious; the interests of both doctors and patients are not consistent; moral hazard exists between them; adverse selection led to a decline in the quality of medical services. And combined with the present situation of medical information disclosure, to discuss the countermeasures of medical information disclosure based on the demand of medical dispute management： to implement the responsibility of information disclosure; to build the platform of mutual evaluation of doctors and patients; to disclosure violations, prevent illegal gains;to introduce of competition mechanism, improve the information disclosure; and to construct information disclosure oriented culture.