Study On The Third-party Mechanism In Coordination And Treatment Center Of The Medical Dispute Liability Of Jilin Province

Objective:Has been resolve medical disputes between doctors and patients are a challenge. For the present situation, the provinces were the introduction of the corresponding third-party intervention of medical dispute resolution mechanism. Province in September 2006 set up the coordination of medical liability disputes, processing center, its purpose is to establish and improve medical practice across the province take the risk of social mechanisms and improve the patients, medical institutions and medical personnel defense medical risks, protection of both doctors and patients legitimate rights and interests, and create a harmonious society. After three years time, "center" has initially established the relevant working mechanism. Therefore, this article on the medical liability disputes through coordination of treatment centers in more than three years of cases dealt with disputes between doctors and patients were analyzed and the questionnaire, analysis of "center" of the existing problems, and how to further improve the province a third party involved in medical disputes mechanism to make recommendations.Method:This study used literature study, theoretical study combined with empirical methods; use of literature analysis, insider interviews and other qualitative research methods, combined with quantitative empirical data processing, and use statistical analysis to analyze the data. Information mainly from the medical liability disputes Jilin Province since the establishment of coordinated processing center for all information on the case; survey method to get through seven medical institutions in Jilin Province, 868 staff and 874 patients and their families of their questionnaire.Results:First, coordination of medical liability disputes processing center analysis: center staffing structure is irrational, but the number of cases increased year by year deal with the trend; the distribution of medical malpractice cases because of different medical institutions have different levels; medical malpractice cases, the claim paid the intervention of the Centre has not been reduced; dispute resolution, the poor performance record; mediation in medical malpractice cases occurred mainly due to defects and complications of medical procedures;Second, the questionnaire results: patient perceptions of both degree of doctor-patient relationship is different; both the number of conflicts on the patient's understanding difference; suffering from both economic disputes and clinical skills that the proportion of disputes little difference; persons Most non-medical costs at their own expense; nursing staff's knowledge of the medical liability insurance is not high; medical dispute resolution model, the doctors and the patients tend to third-party intervention model; patients and their families that their health is the main reason for the incident divergent rapid increase in treatment costs, the heavy workload of medical staff, communication, less time, service quality and technical problems, health care workers that the dispute is due to the heavy workload of medical staff, communication, less time, due to media hype, creating a sensation effect of misleading patients and their families, medical expenses, the three-rapid growth;Discussion:Coordination of medical liability disputes processing center under commercial insurance companies, funds paid by insurance companies, third-party model of this commercial seriously affect the neutrality of third parties in our province, not only the emergence of a neutral financial dilemma the whole situation, and make mediation Roles market. Meanwhile, the "center" the work of the mechanism is not perfect, the existence of selective clients, deal with disputes in the event of limitations, delay sex, and staffing unreasonable. In addition, medical institutions, purchase of medical liability insurance is not high enthusiasm, coupled with the implementation of medical liability insurance is not our province legislation, which makes our province the development of medical liability insurance coverage of low, uneven and inadequate depth and breadth weakened province of medical risk-sharing capacity. In addition to "center" their own problems, some related factors have also restricted the province of medical liability disputes, coordinate the development of processing centers, such as the existing model of imperfect medical services, news media coverage is not objective, non-medical security system healthy and non-noble medical ethicsRecommendation:To ensure the "center" position of neutrality, timeliness of handling disputes, professional staff, and universal insurance, I believe that the following aspects should improve the ability to strengthen the center's services:First of all, should be made clear "center" under the question, turning it into the government set up under the public security, security monitoring, financial disputes and other sectoral coordination body. "Center" funded by the government from the premiums charged, sub-allocated by the financial sector, "center", "center" for free for the province's handling medical malpractice cases. This will not only get the trust between doctors and patients, but also change the "central" role in the mediation of the original staff, the real identity of a third-party dispute settlement cases; Second, improve coordination of medical liability disputes mechanism of processing centers will be non-medical malpractice, and medical malpractice cases all included in the "central" work areas, to improve their patient for medical institutions and the ability of parties to resolve disputes in the event;Third, the province should put the appropriate legislation, the medical liability insurance as a statutory insurance, compulsory medical institutions to purchase, improve and perfect the province of medical risk-sharing mechanism, so that medical institutions and legal rights of both doctors and patients has been effectively protected; Finally, strengthening the "central" team-building so that the "center" staff should not only have a very strong sense of responsibility and professional knowledge of literacy, but also have good communication and resourcefulness.At the same time, strengthening the functions of relevant departments, set up in medical liability disputes mediation leading group, set up joint conference system, the establishment of information sharing, cooperation, long-term working mechanism of interaction.