河南省临床医师对医疗纠纷成因认知的调查

Investigation on Clinician's Cognition of Medical Dispute Causes

目的:了解医疗纠纷的发生情况及其对医师的影响,寻求解决途径。方法:采取自编问卷,对临床医师进行调查,从医师角度分析医疗纠纷发生原因和解决办法。结果:81.6%的医师经历过医疗纠纷,处理医疗纠纷对医师的工作、生活、情绪和健康均产生影响。导致医疗纠纷的原因,有98.2%的医师认为是"患者期望太高难以满足";90.5%的医师认为与"媒体对医患关系的负面报道"有关;还有82.3%的医师"患者医疗知识的匮乏"。78.6%的医师认为解决的办法是"健全医疗保障制度,解决‘看病难、看病贵’问题";74.1%的医师认为要"发挥媒体的正确舆论导向作用";68.3%的医师建议"提高全民医学基本常识"。结论:健全医疗保障制度,加强医务人员的医德医风建设,规范媒体行业行为,改善舆论环境,加强医疗健康知识宣教,改善医师执业环境,加强医患沟通,保障医患双方的合法权益,将有助于减少医患纠纷的发生。

Objective： To understand the situation and impact on doctors of medical dispute,and seek the solutions. Methods： The doctors are investigated by self- designed questionnaire. To analysis the causes and solutions of medical dispute under the perspective of doctors. Results： 81. 6% of doctors experienced medical disputes. It has an impact on physicians＇ work,life,mood and health dealing with medical disputes.As to causes of medical disputes,98. 2% of doctors consider that is ＂ the patients＇ expectation is too difficult to satisfy＂,90. 5% of doctors consider that is relevant to ＂ the media negative reports on the doctor- patient relationship＂,82. 3% of doctors consider that is ＂ patents＇ lack of medical knowledge＂. 78. 6% of doctors think the solution is ＂ improving the medical security system,solving the problem of difficulties and high expense in medical care＂. 74. 1% of doctors insist ＂ the media should provide correct public opinion guidance＂ while 68. 3% of them suggest to ＂ enhance the medicine basic common sense＂. Conclusion： It can be effective to reduce the incidence of medical disputes by improving the medical security system,strengthening the medical personnel industry self- discipline,standardizing the behavior of media industry,strengthening medical health knowledge propaganda and education,improving the physician＇s practice environment,strengthening the communication between doctors and patients and safeguarding the legitimate rights and interests of both doctors and patients.