医疗纠纷成因和对医疗行为影响及对策探讨

Discussion on the cause of Medical dispute and its influence on Medical behavior and related Countermeasures

目的:分析医疗纠纷现象对医生医疗行为产生的影响,寻找其形成原因,并找出解决对策。方法:选择近三年发生的医疗纠纷40件,针对医生自身医疗行为进行调查,确定是否有过度医疗行为。结果:对40件医疗纠纷原因进行调查可知,27.50%为医患沟通问题,2.50%为医疗费用问题,57.50%为诊疗程序问题,12.50%为病历管理问题;经历医疗纠纷的过度医疗行为例数和防御性医疗行为例数,与未经历医疗纠纷的存在明显差异(P<0.05)。结论:医疗纠纷的发生对医生医疗行为产生的影响较大,医务人员要与患者或家属保持良好的沟通,进而有效预防医疗纠纷,减少医疗纠纷事件,医院还要制定医患沟通机制和相关规范,建立医疗风险管理制度,并在实施过程中对其不断的完善和优化。

to analyze the causes of medical disputes on doctors＇ own medical behavior,and to find out the countermeasures. Methods： 40 cases of medical disputes were selected. Results： among the 40 cases of medical disputes, 27.50% were doctor-patient communication,2.50% were medical expenses, 57.50% were diagnosis and treatment procedures and 12.50% were medical records management, and there were significant differences between the cases of overtreatment and defensive medical behaviors experienced by medical disputes and those not experienced （P 〈 0.05）. Conclusion： the occurrence of medical disputes is of great importance to the doctors themselves. Medical behavior has a great influence, medical personnel should maintain good communication, and then effectively prevent medical disputes and reduce medical disputes.