卫生制度实践对医疗纠纷的影响研究——基于变迁的视角

The influence of medical and healthcare system practice for medical disputes

最近这10余年是医疗卫生正式制度大规模变迁的时代,医疗领域的各种制度变迁的规模和数量十分巨大。医患双方正是根据这些制度来指导自己的实践。在这些制度中,预防为主的卫生政策不到位、医疗资源配置不均衡、分级诊疗制度没有发挥效应、医疗保障制度缺位对医疗纠纷的发生产生了一些影响。但是,当这些制度真正发挥效用时,医疗纠纷也随之呈下降的趋势。

The last decade has seen the large-scale changes in the formal medical and health systems,and it's huge in the scale and quantity of various institutional changes in the medical field.Both doctors and patients decide what they will do according to these systems.However,some of them,including the underserved prevention-oriented medical treatmen,the uneven allocation of medical resources and the lack of effect the hierarchical medical system,have influenced the occurrence of medical disputes.But when these systems really play a role,medical disputes will also tend to be decreasing.