摘要
目的:探究盐城市医疗损害责任纠纷案件的现状,分析存在问题并提出改进建议,以切实减少医疗纠纷。方法:采用回顾性研究方法,对盐城市2016—2018年的96例医疗损害审结案件进行整理、分析和总结。结果:(1)基本情况:案件多发于经济相对发达的区县,中老年人在涉案患者中占比较高,涉案医疗机构以二、三级医院为主,骨科、妇产科和普外科占比居前三;(2)鉴定情况:进入实质审理的案件均进行了鉴定,以单纯医疗损害鉴定为主,经鉴定81.3%的案件医方有责任,其中医疗技术过错、医疗告知不充分占主要原因,鉴定伤残率达72.9%;(3)判决情况:案件审理时长平均需11.99个月,涉案纠纷平均赔偿约13.4万元。结论:医疗机构应严抓医疗服务质量,加强对高危科室和高危人群的管理,建立医疗风险预警机制,及时处理医疗纠纷。
Objective:To explore the status of medical injury liability disputes in Yancheng,analyze the existing problems and pro⁃pose improvements to reduce medical disputes.Methods:The research adapt retrospective study method,96 cases of medical injury lia⁃bility disputes in Yancheng from 2016 to 2018 were collected and analyzed.Results:(1)Cases occur frequently in more developed dis⁃tricts.Middle-aged and elderly people account for a high proportion,The medical institutions are mainly secondary or tertiary hospi⁃tals,with orthopedics,obstetrics and gynecology and general surgery accounting for the top three;(2)The cases that have entered the substantive trial have been identified,mainly based on medical damage evaluation,81.3%of the cases are evaluated responsible.Among them,medical technology faults and insufficient medical notifications account for the main reasons,identified disability rate reached 72.9%;(3)The average trial time is 11.99 months,and the average compensation for the disputes is about 134,000 yuan.Conclusions:Medical institutions should pay close attention to the quality of medical service;Strengthen the management of high-risk de⁃partments and high-risk groups,establish a medical risk warning mechanism,and promptly handle medical disputes.
作者
沈刚
戴月华
吴丽华
乔学斌
SHEN Gang;DAI Yuehua;WU Lihua;QIAO Xuebin(School of Health Policy&Management,Nanjing Medical University,Nanjing,Jiangsu,211166;Doctor-patient Communication Department,Yancheng Third People’s Hospital,Yancheng,Jiangsu,224005;President’s office,Yancheng Third People’s Hospital,Yancheng,Jiangsu,224005)
出处
《江苏卫生事业管理》
2020年第7期895-898,共4页
Jiangsu Health System Management
关键词
医疗损害
案件
医疗纠纷
防范
Medical injury
cases
Medical disputes
Prevention
