摘要
目的掌握乌鲁木齐市部分医院近三年医疗纠纷现况及患者和医务人员对医疗纠纷的认知情况,对引起医疗纠纷的原因进行分析,对医疗纠纷发生、发展的过程进行描述。方法 (1)文献法。实地调查了5所医院2005年1月～2008年12月发生医疗纠纷的病历资料及医院管理部门处理医疗纠纷的文档。(2)问卷调查法。对5所医院的门诊、住院病人及医务人员,采用现场随机抽样的方法进行医疗纠纷认知情况分析。结果通过调查分析发现自由职业者和工人易发生医疗纠纷;21～30岁、60岁以上患者发生纠纷的比例最高;外科科室发生的医疗纠纷明显高于其他临床科室,导致医疗纠纷的原因中,始发原因以"发生并发症",诱发原因以"解释不清不细"为首位。经费来源、文化程度、年龄分别与发生医疗纠纷因素相关。结论 21～30岁及60岁以下患者是医疗纠纷的高发人群;文化程度低的患者医疗纠纷发生率较高,自费患者医疗纠纷发生率高于非自费患者,科别与医疗纠纷的始发原因、诱发原因相关;年龄与医疗纠纷的医疗纠纷发生的原因相关。外科系统引起医疗纠纷的原因多为始发原因;内科引起医疗纠纷的原因多为诱发原因。
Objective Mastering the status of medical disputes and patients＇ and medical staff＇s cognition of medical disputes situation in part of the representative hospitals in Urumqi in the last three years,this paper gave an analysis on the causes of medical disputes and described the process of medical disputes and their occurrence,development.Methods（1） literature method.the questionnaire survey method.Results The investigation found that the majority of the populations of medical disputes are liberal professions and workers,21～30-year-old and over 60-year-old patients are high risk of medical disputes;the occurrence of medical disputes in surgical departments was significantly higher than other clinical departments,the reasons such as ＂complications＂,＂poorly explained＂ are prominent.Strengthening the control of the induced causes is the key to deal with the disputes.Source of economy,education level,age distribution are mutually related with the factores of medical dispute occurrence.Conclusion 21～30-year-old and over 60-year-old patients are high risk of medical disputes;the technician staff are the focus of the legal education and training.There is correlation between section office and the leading reasons of medical disputes,it is the same with the age and with the patients in town and countryside maitenning rights.The reasons that bring out medical disputes in surgical system are most leading ones;while in internal medical system are most induced reasons.
出处
《新疆医科大学学报》
CAS
2010年第5期554-557,共4页
Journal of Xinjiang Medical University
关键词
医疗纠纷
成因
调查
medical disputes
causes
investigation
investigation
