医疗损害纠纷诉讼案件分析--以江苏省为例

Analyzing The Lawsuits of Medical Damage Dispute Sampled with Jiangsu Province

目的:分析江苏省医疗损害责任纠纷案例发生的特点,为缓解当前紧张的医患关系提出相应的参考意见方法:从中国裁判文书网公布的文书中,对江苏省2013年至2018年1421件医疗损害责任纠纷案例进行统计分析。结果:0~9岁与60〜69岁是纠纷的高发年龄段;发生纠纷较多的前三个科室分别为骨科(20.1%)、心血管外科(20.1%)及妇产科(18.9%);纠纷主要集中在三级医疗机构(60.1%);发生医疗损害责任纠纷的主要原因是医疗技术水平(44.5%);纠纷的主要鉴定机构为医学会(92.1%);鉴定人出庭仅占4.2%;赔偿金额主要集中在20~50万元,案均赔偿20.1万元,总赔偿额高达29097.5万元,结论:规避和减少医疗纠纷需要加强医疗质量管理,提高医疗技术水平,完善医疗风险分担机制。

Objective To analyze the characteristics of medical damage liability dispute lawsuits in Jiangsu Province,and put forward countermeasures to alleviate the doctor-patient relationship. Methods 421 cases of medical damage liability dispute lawsuits in Jiangsu Province from the documents published by China Judicial Documents Network from 2013 to 2018 were analyzed.Results The people aged from 0 to 9 years old and from 60 to 69 years old had higher incidence of disputes. The top three departments were orthopedics(20. 1%),cardiovascular surgery(20. 1%) and gynecology and obstetrics(18. 9%). The disputes were mainly concentrated in tertiary medical institutions(60. 1%). The main reason for disputes of medical damage liability was the level of medical technology(44. 5%). The main appraisal body of the dispute is the Medical Association(92. 1%). Only 4. 2%of the appraisers appeared in court. The amount of compensation was mainly concentrated from 200,000 to 500,000 RMB Yuan,with an average amount of 20. 1 RMB Yuan and total amount of 29,975,000 RMB Yuan. Conclusion To avoid and reduce medical disputes,it is necessary to strengthen the quality management of medical services,improve medical technology and perfect the medical risk sharing mechanism.