新疆地区医务人员对“建立医疗损害风险分担机制”认知调查
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摘要
目的了解新疆地区医务人员对建立医疗损害风险分担机制的认知,并讨论此现况下医疗机构如何加强医疗风险的管控以及风险的转移。方法采用方便抽样,以1 700名参加继续教育培训的医务人员为调查样本,进行问卷调查及数据收集,使用Excel2007进行数据录入、核对,使用SPSS 21.0软件进行数据分析。结果 76%的被调查者在工作中遇到因医疗意外引发的医疗损害事件,医疗意外所致的纠纷事件要高于医务人员违法违规所致的纠纷事件;59.6%的调查者认为应该由医学会医疗事故鉴定办公室进行损害原因界定;52%的被调查者认为医疗意外的损害风险应该由患者或患者家属承担责任;51.5%的被调查者认为应该由2个以上筹资主体设立医疗损害风险分担资金;66.8%的被调查者认为建立多渠道的医疗损害风险分担机制有助于解决纠纷高发状态。结论建立合理有效的医疗风险识别、界定、分担机制,可以加强医患信任,使患者充分信任医师,医师高效地治疗患者。
Objective To explore the cognition of construction on sharing system of medical injury threats of medical staffs in Xinjiang and discuss how should hospitals manage and transfer medical injury threats. MethodsWe recrnited 1700 medical staffs who attended continuing education training for the questionnaire survey; the results had been checked, recorded in Excel 2007 and analyzed by IBM SPSS Statistics 21.Results 76% of the participants encountered medical injury events caused by medical accidents during work; medical disputes caused by accidents were higher than infraction of law by medical staffs. 59.6% of the participants considered that the injury reason should be evaluated by medical accident appraisal office. 51.5% of the participants suggested there should be more than two organizations to share medical injury threats payments. 66.8% of the participants held more ways should be developed to share medical injury threats to help solving increasing disputes.Conclusion By constructing effective medical threats system of identification, definition and sharing, trust among patients and doctors can be enhanced and doctors can cure patients with high efficiency.
Objective To explore the cognition of construction on sharing system of medical injury threats of medical staffs in Xinjiang and discuss how should hospitals manage and transfer medical injury threats. MethodsWe recrnited 1700 medical staffs who attended continuing education training for the questionnaire survey; the results had been checked, recorded in Excel 2007 and analyzed by IBM SPSS Statistics 21.Results 76% of the participants encountered medical injury events caused by medical accidents during work; medical disputes caused by accidents were higher than infraction of law by medical staffs. 59.6% of the participants considered that the injury reason should be evaluated by medical accident appraisal office. 51.5% of the participants suggested there should be more than two organizations to share medical injury threats payments. 66.8% of the participants held more ways should be developed to share medical injury threats to help solving increasing disputes.Conclusion By constructing effective medical threats system of identification, definition and sharing, trust among patients and doctors can be enhanced and doctors can cure patients with high efficiency.
引文
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[2] 周士逵,马雪梅.我国医疗风险因素的成因及对策研究从医院管理的角度[J].中国卫生事业管理,2011,28(4):254-255.
[3] 张建祥,王小美.医疗风险概念的界定[J].中国疗养医学,2011,20(10):916-918.
[4] 彭诗祥.论医疗损害[J].中国现代医生,2011,49(10):79-83.
[5] 陈玉玲.医疗损害社会化分担之法理基础[J].南京社会科学,2012(7):88-94.
[6] 文学斌,曹艳林,田勇泉,等.中国医疗损害风险分担机制现状与对策[J].中南大学学报,2015,40(1):112-115.
[7] 袁江帆,陈伟,陈秀丽,等.我国医疗风险分担机制的探索与展望[J].解放军医院管理杂志,2014,21(8):724-726.
[8] 杨自根.试析医疗风险社会化分担机制的构建[J].医学与法学,2013,5(3):27-30.
[9] 任华玉.息悦,李中华,等,关于完善我国医疗风险分担机制的研究[J].中国卫生经济,2014,33(9):39-41.
[10] 吴郎,强美英.我国无过错医疗损害补偿制度探究[J].医学与哲学,2015,36(11):78-81.