摘要
为了探究三医联动践行中医务人员与患者之间纠纷的成因及防范方略,通过对医院医疗纠纷、投诉登记以及相关文献资料的收集梳理,发现医务人员在医疗、医保、医药政策执行中对于住院标准、住院时长、医保目录、结账时效、医保病种甄别、双向转诊办理、服务宗旨和利益指向等把控中的人文素养是医院医患纠纷产生与否的关键。医务人员的诚信及尊患意识等人文素养的恪守,三医联动政策意识和水平的提升,医院信息系统及管理的高效运行,医疗服务质量和流程的持续改进等是医患纠纷防范的前提。
In order to explore the causes and preventive strategies of disputes between medical staff and patients in tripartite alliance system,the authors conduct an investigation through the collection and review of medical disputes and registered complain documents in the authors'working hospital.it is found that in the implementation of medical care,medical insurance and drug distribution policies,medical staff in hospitals are responsible for inpatient standards,length of stay,medical insurance catalog,closing time limit,medical insurance disease screening,two-way referral.Their humanistic literacy in the process of management,service purpose and interest orientation is the key to the generation of hospital doctor-patient disputes.The integrity of medical staff and the awareness of respect for person,the improvement of awareness of the tripartite alliance system,the efficiency of hospital information system and management,and the continuous improvement of medical care quality and procedures are the prerequisites for the prevention of doctor-patient disputes.
作者
田桂香
宁翠萍
李雪
李东莎
王君
TIAN Gui-xiang;NING Cui-ping;LI Xue(Medical Insurance Management Office,Affiliated Renhe Hospital of China Three Gorges University,Yichang 443001,China;不详)
出处
《医学与哲学》
2019年第23期58-61,共4页
Medicine and Philosophy
基金
2018年宜昌市社会科学研究项目(ysk18kt326)
关键词
三医联动
医患纠纷
医院管理
tripartite alliance system
doctor-patient disputes
hospital management
