四川省医疗纠纷的特征及其影响因素分析

Analysis on medical dispute characteristics and its influencing factors in Sichuan province

[目的]了解四川省医疗纠纷发生现状及成因、处理方式及结果,分析其存在的问题和影响因素,揭示四川省医疗纠纷的特征及规律。[方法]采用问卷调查法,调查四川省经济水平高、中、低的成都、乐山、凉山25家二级及以上医院。[结果]发生医疗纠纷的患者以初中以下学历为主,占65.53%;农村居民居多,占56.23%;医生和护士是发生纠纷的主要医务人群,共占95.96%;医生以本科及以上学历,占77.9%,中级职称为主,占36%;护士以大专学历为主,占64.6%;医疗风险高发科室为外科(占37%),外科中骨科最多。[结论]医疗纠纷存在地区经济水平差异、医院层次差异和执业人群差异,医患双方对医疗关系的认识存在差异。

Objective To know present situation, causes, handling and result of medical disputes happened in Sichuan province, analyze existent issue and its influencing factors, to reveal the characteristics and rule of medical disputes. Methods Questionnaire survey method was used to investigate 25 second level hospital in Chendu, Liangshan and Leshan which were high, middle and low economic level. Results The education background of patients in medical disputes were mostly junior high school or below （65.53%） , mostly were rural residents （56. 23% ） . Doctors and nurses were main group of medical dispute （95.96）, the education background of doctors was bachelor degree or above （77.9%）, intermediate professional title （36%）, the education background nurse was college degree （64. 6% ） . High -risk department of medical disputes happened was surgery （37%） . Conclusions There is different of medical disputes in region＇s economic level, hospital level and occupational group, and the different in cognition between doctors and patients.