The Internet of Medical Things(IoMT)will come to be of great importance in the mediation of medical disputes,as it is emerging as the core of intelligent medical treatment.First,IoMT can track the entire medical treat...The Internet of Medical Things(IoMT)will come to be of great importance in the mediation of medical disputes,as it is emerging as the core of intelligent medical treatment.First,IoMT can track the entire medical treatment process in order to provide detailed trace data in medical dispute resolution.Second,IoMT can infiltrate the ongoing treatment and provide timely intelligent decision support to medical staff.This information includes recommendation of similar historical cases,guidance for medical treatment,alerting of hired dispute profiteers etc.The multi-label classification of medical dispute documents(MDDs)plays an important role as a front-end process for intelligent decision support,especially in the recommendation of similar historical cases.However,MDDs usually appear as long texts containing a large amount of redundant information,and there is a serious distribution imbalance in the dataset,which directly leads to weaker classification performance.Accordingly,in this paper,a multi-label classification method based on key sentence extraction is proposed for MDDs.The method is divided into two parts.First,the attention-based hierarchical bi-directional long short-term memory(BiLSTM)model is used to extract key sentences from documents;second,random comprehensive sampling Bagging(RCS-Bagging),which is an ensemble multi-label classification model,is employed to classify MDDs based on key sentence sets.The use of this approach greatly improves the classification performance.Experiments show that the performance of the two models proposed in this paper is remarkably better than that of the baseline methods.展开更多
Under the background of medical disputes growing in number,scale and intensity,tracing back legal changes in medical field as a breakthrough point,this paper took a legal perspective to illustrate changes in medical d...Under the background of medical disputes growing in number,scale and intensity,tracing back legal changes in medical field as a breakthrough point,this paper took a legal perspective to illustrate changes in medical dispute settlements from legislative orientation to legal system improvement.In view of the fact that early legislation in medical field was biased towards identification and punishment of doctors’responsibility,and later intensive legislation in balancing increasing"medical trouble"phenomenon with limited effects and difficulties to abide by the law,this paper proposed to improve doctor-patient dispute settlements system in China referencing from foreign law experience,to reduce investigation of doctors at the judicial level,and to establish a settlement mechanism on doctors’apology at the legislative level,so as to promote a healthy development of doctor-patient relationship.展开更多
Rigorous debates have followed the formulation of a new law that changes the way Chinese courts handle medical disputes.The draft Tort Liability Law,which is being deliberated by the National People’s Congress(NPC),C...Rigorous debates have followed the formulation of a new law that changes the way Chinese courts handle medical disputes.The draft Tort Liability Law,which is being deliberated by the National People’s Congress(NPC),China’s top legislature,deals with when a person/organization can be sued展开更多
Objective To analyze the characteristics of medical malpractice from different grades of hospitals and to explore forensic investigation strategies in assessing medical dispute. Methods A total of206 cases of medical ...Objective To analyze the characteristics of medical malpractice from different grades of hospitals and to explore forensic investigation strategies in assessing medical dispute. Methods A total of206 cases of medical dispute from 2009 to 2010 investigated by the Department of Forensic Medicine in Nanjing Medical University were selected and analyzed according to fault incidence, fault-prone part,and degree of causality in the treatment. Results Among the 206 cases analyzed, tertiary hospitals, secondary hospitals and primary hospitals showed medium, high and low error rate, respectively. A majority of medical malpractice cases were distributed in the departments of surgery, medicine and gynecology.Conclusion The frequency and severity of medical malpractice in primary hospitals were high, which were gradually reduced in tertiary and secondary hospitals.展开更多
In China,two administrative regulations and judicial interpretations related to forensic examinations of medical damage were issued from March 2017 to June 2018.In chronological order,they were interpretation of the s...In China,two administrative regulations and judicial interpretations related to forensic examinations of medical damage were issued from March 2017 to June 2018.In chronological order,they were interpretation of the supreme people’s court on several questions concerning the application of law in the trial of disputes over liability for medical damage and regulations on the prevention and handling of medical disputes.Those two laws,especially the regulation,have had a fundamental impact on the pattern of forensic examinations on medical damage.This paper systematically reviews the current status and existing problems with forensic examinations on medical damage following implementation of the law of tort liability;it discusses new concepts of procedures,institutional arrangements,and the selection of examiners for forensic examinations on medical damage.We believe that through the regulation,the dualistic confrontation status of forensic examinations on medical damage will gradually change toward integration.We consider that forensic examinations of medical damage will face three challenges in the future:(1)enhancing the establishment of standards;(2)undertaking theoretical research into forensic examinations onmedical damage;and(3)promoting the development ofinterdisciplinary identification specialistsmajoring in both medicine and law.Only in this way will it be possible to rectify the current dilemma with forensic examinations on medical damage in China.展开更多
基金supported by the National Key R&D Program of China(2018YFC0830200,Zhang,B,www.most.gov.cn)the Fundamental Research Funds for the Central Universities(2242018S30021 and 2242017S30023,Zhou S,www.seu.edu.cn)the Open Research Fund from Key Laboratory of Computer Network and Information Integration In Southeast University,Ministry of Education,China(3209012001C3,Zhang B,www.seu.edu.cn).
文摘The Internet of Medical Things(IoMT)will come to be of great importance in the mediation of medical disputes,as it is emerging as the core of intelligent medical treatment.First,IoMT can track the entire medical treatment process in order to provide detailed trace data in medical dispute resolution.Second,IoMT can infiltrate the ongoing treatment and provide timely intelligent decision support to medical staff.This information includes recommendation of similar historical cases,guidance for medical treatment,alerting of hired dispute profiteers etc.The multi-label classification of medical dispute documents(MDDs)plays an important role as a front-end process for intelligent decision support,especially in the recommendation of similar historical cases.However,MDDs usually appear as long texts containing a large amount of redundant information,and there is a serious distribution imbalance in the dataset,which directly leads to weaker classification performance.Accordingly,in this paper,a multi-label classification method based on key sentence extraction is proposed for MDDs.The method is divided into two parts.First,the attention-based hierarchical bi-directional long short-term memory(BiLSTM)model is used to extract key sentences from documents;second,random comprehensive sampling Bagging(RCS-Bagging),which is an ensemble multi-label classification model,is employed to classify MDDs based on key sentence sets.The use of this approach greatly improves the classification performance.Experiments show that the performance of the two models proposed in this paper is remarkably better than that of the baseline methods.
文摘Under the background of medical disputes growing in number,scale and intensity,tracing back legal changes in medical field as a breakthrough point,this paper took a legal perspective to illustrate changes in medical dispute settlements from legislative orientation to legal system improvement.In view of the fact that early legislation in medical field was biased towards identification and punishment of doctors’responsibility,and later intensive legislation in balancing increasing"medical trouble"phenomenon with limited effects and difficulties to abide by the law,this paper proposed to improve doctor-patient dispute settlements system in China referencing from foreign law experience,to reduce investigation of doctors at the judicial level,and to establish a settlement mechanism on doctors’apology at the legislative level,so as to promote a healthy development of doctor-patient relationship.
文摘Rigorous debates have followed the formulation of a new law that changes the way Chinese courts handle medical disputes.The draft Tort Liability Law,which is being deliberated by the National People’s Congress(NPC),China’s top legislature,deals with when a person/organization can be sued
文摘Objective To analyze the characteristics of medical malpractice from different grades of hospitals and to explore forensic investigation strategies in assessing medical dispute. Methods A total of206 cases of medical dispute from 2009 to 2010 investigated by the Department of Forensic Medicine in Nanjing Medical University were selected and analyzed according to fault incidence, fault-prone part,and degree of causality in the treatment. Results Among the 206 cases analyzed, tertiary hospitals, secondary hospitals and primary hospitals showed medium, high and low error rate, respectively. A majority of medical malpractice cases were distributed in the departments of surgery, medicine and gynecology.Conclusion The frequency and severity of medical malpractice in primary hospitals were high, which were gradually reduced in tertiary and secondary hospitals.
基金This study was funded by the Humanities and Social Sciences Planning Project of Ministry of Education(No.18YJA820018,No.10YJA820105)Open Research Project of Shanghai Key Laboratory of on-site Material Evidence(2017XCWZK19).
文摘In China,two administrative regulations and judicial interpretations related to forensic examinations of medical damage were issued from March 2017 to June 2018.In chronological order,they were interpretation of the supreme people’s court on several questions concerning the application of law in the trial of disputes over liability for medical damage and regulations on the prevention and handling of medical disputes.Those two laws,especially the regulation,have had a fundamental impact on the pattern of forensic examinations on medical damage.This paper systematically reviews the current status and existing problems with forensic examinations on medical damage following implementation of the law of tort liability;it discusses new concepts of procedures,institutional arrangements,and the selection of examiners for forensic examinations on medical damage.We believe that through the regulation,the dualistic confrontation status of forensic examinations on medical damage will gradually change toward integration.We consider that forensic examinations of medical damage will face three challenges in the future:(1)enhancing the establishment of standards;(2)undertaking theoretical research into forensic examinations onmedical damage;and(3)promoting the development ofinterdisciplinary identification specialistsmajoring in both medicine and law.Only in this way will it be possible to rectify the current dilemma with forensic examinations on medical damage in China.
