Research Of Medical Dispute Third-party Meditation’s Cohesive Mechanism

[Purpose] Analysis of the development status,the third party mediation organizations of medical malpractice in wuhan since the establishment of the operation of institutions,staffing,work mechanism and mediation,and find out the existing problems and shortcomings.summarize the medical dispute mediation and third party cohesion mechanism,analysis of convergence mechanism perfection.explore the medical dispute third party mediation convergence the mechanism of improving strategies for the subsequent policy adjustment and china’s third party mediation mechanism to provide reference and constantly improve.[Methods](1)Literature research method: the domestic third party mediation of medical disputes related laws and regulations and policy documents were collected and compiled,specifications and requirements of a clear policy level.in literature,so as to perfect the research plan and research tool design.(2)Statistical analysis: on the medical committee tune,medical institutions,patients,and other aspects of the mediation cases collected data,using SPSS19.0 and EXCEL 2016 software statistical analysis of related data.(3)Stakeholder analysis: through stakeholder interviews and analysis,fully analysis.From the perspective of easy to find all the pros and cons of medical disputes,the third party by various stakeholders to accept the mediation mechanism to improve the convergence of strategies and recommendations.(4)Symposium: empirical research,invite professional experts in the field of academics,health authorities and medical adjustable Committee insiders thematic discussion.[Results](1)Wuhan City Medical Committee tune development: the funding and staff treatment: at present,Wuhan City District Medical Committee tune operation guarantee mechanism is not uniform and the larger gap,salary is low,and the interval is not uniform.the mediator composition: the lack of medical personnel.the mediator of job satisfaction Wuhan City medical adjustable committee staff satisfaction is relatively low,"very satisfied" and "satisfactory" accounted for 25%.while the most dissatisfied with the top three reasons: low income,high risk occupation,career development and construction of poor.The relevant medical dispute lawsuit case verdict,to determine the approximate range of an amount of compensation.the training: yet to establish a unified training system,training situation in various districts is not unified.the dispute mediation: by the end of 2016,Wuhan City District Medical Committee tune since the establishment of mediation of medical dispute cases since 2195,the success of mediation,signed an agreement to close to 90% cases of mediation cases,mediation quantity increases year by year.(2)Convergence with medical institutions: mainly in dispute resolution and active involvement in the dispute in two areas,but the initiative to intervene in the amount of disputes has been maintained low water,not more than 10 per year.(3)Connect with the administrative department of health at the reporting mechanism and the establishment of expert database,expert database enab led overall less than 10% cases.(4)The convergence with the Bureau of justice in the Judicial Bureau of the medical staff training and legal support.(5)The convergence of the court and the court there is a combination of judicial confirmation and litigation,the proportion of each year to determine the proportion of judicial confirmation of the dispute to maintain a total of between 10%-15%,the combination of mediation and conciliation only Jianghan District is more perfect.(5)The related mechanism of the operation of the mechanism: the re sponsibility evaluation mechanism is not perfect,the mediation process is a passive acceptance,the compensation standard is based on the standard of compensation for the road,and the standard of compensation for medical malpractice has not been established yet.(6)The social cognition survey of the Medical Committee showed that the awareness rate was only about 6%,and more than 90% of patients had low trust in the medical care committee of the third party mediation organization.[Conclusions](1)The policy laws and regulations and the theory foundation of the research: the existence of institutional advantages and practice of domestic related research mainly focus on the third party mediation mechanism of medical disputes in the problems and shortcomings,and study the convergence mechanism of the third party mediation of medical disputes only scattered research scholars at home and abroad,for a comprehensive study of the third party mediation of medical disputes the convergence mechanism is still blank.(2)Wuhan City Medical Committee tune construction status: Wuhan City District Medical Committee tune Construction: 2011,13 districts of Wuhan city has established a medical committee tune,to provide free services for the mediation of medical disputes,to ease the doctor-patient relationship,medical disputes has played a positive role.the lack of Wuhan city improve the top-level design in the mediation committee of medical establishment and development issues,leading to the district medical committee tune in the organization establishment,personnel composition,mediation process,staff benefits,financial security,operation mechanism,expert database establishment and use,and the court of convergence problems vary.(3)Convergence mechanism of Construction: the breadth and depth of cohesion and its medical institutions and health administrative departments of the medical committee tune play a major role on,but the organization of the third party mediation of medical disputes by judicial departments led organization for private nature o f the third party organization.The lack of active intervention mechanism and dispute prevention mechanism.and the health administrative departments and judicial departments of convergence: the District Planning Commission and the Bureau of justice to promote the mediation committee of medical establishment,operation and development zone.Wei Planning Commission set up expert database,but due to the lack of perfect convergence mechanism and system.