摘要
目的:综合分析医疗纠纷案例的相关数据,统计归纳医疗纠纷的特点,为前置医疗风险管理和有针对性地防范医疗纠纷提供参考。方法:对2009-2013年关于医疗纠纷案例的文献相关数据进行分类统计,计算标准化率。结果:医疗纠纷的事故率与非事故率相当,三级事故(44.10%)最多;责任等级方面医疗机构主要承担次要责任(37.95%)。医疗纠纷多见于二级(47.56%)和县级(38.30%)医疗机构;外科(31.89%)、内科(17.02%)、妇产科(16.98%)、骨科(9.97%)为纠纷多发科室。医疗纠纷原因中,医疗技术水平问题(31.19%)、告知说明不充分(13.72%)、手术操作不当(11.3 1%)等位居前列。医疗纠纷主体方面:男性(57.74%)多于女性(42.26%),年幼患者和中老年患者较多。纠纷主要解决方式为医患双方协商解决(49.31%)。结论:医疗纠纷案例相关数据呈现出规律性,反映了我国医疗纠纷的现状和特点,对医疗纠纷案例的研究还需持续的动态更新和进一步深入探讨。
Objective： To analyze the relevant data from medical dispute cases, summarize the characteristics of medical disputes, and provide a reference for advancing medical risk management and preventing medical disputes. Methods： Collect the related data from the literatures a- bout the study of medical disputes cases from 2009 to 2013, and calculate normalized ratio. Results： There is no difference between medical mal- practice rate and non - medical malpractice rate. The proportion of the tertiary medical accident （44.10%） is the largest, medical institutions mainly responsible for secondary liability（37.95%. Medical disputes take place in the secondary （47.56%） and the county （38.30%） medical institutions are more frequent, and frequently occur in the surgery （31.89%）, internal medicine （17.02%）, gynecology and obstetrics （16. 98% ） ,orthopedics（9.97% ）. Medical technology issues （31.19%） , to inform and explain inadequate （13.72%） and non - standard surgical procedure（ 11.31% ）are the major causes which lead to medical disputes. The incidence of medical disputes in male patients （57.74%） is high- er, as well as young patients and senile patients. Consultation between doctor and patient is the major way to resolve medical disputes （49.31% ）. Conclusion： The relevant data from medical dispute cases present regularity, reflects the present situations and characteristics of medical disputes in our country. But the studies of medical dispute cases need further dynamic updates and in - depth discussion.
出处
《医学与社会》
2014年第6期55-58,共4页
Medicine and Society
关键词
医疗纠纷
统计分析
Medical Dispute
Statistical Analysis
