Prevention Of Medical Disputes From The Perspective Of Social Governance Mechanism Study

At present,the doctor-patient relationship is tense and disputes occur frequently.From the analysis of the causes,there are objective factors composed of the limitation of medical development,inherent risks and compulsory legal contracting,and social factors such as the decline of medical ethics under the new situation,the awakening of the patient’s consciousness of safeguarding their rights,the unclear positioning of the doctor-patient relationship and the regression of moral constraints.From the evolution and current situation of the existing prevention mechanism of medical disputes in China,laws and regulations from the top-level design of the establishment of preventive measures,including strengthening the internal control of medical quality,media publicity and guidance and prohibition of medical-related illegal behavior;Five legal solutions are stipulated in the article,and special rectification of medical violations is emphasized.After the construction of punishment and accountability measures.Based on the empirical analysis of Y Hospital in J City,it is found that the current medical disputes are not clearly defined,the legal means are not smooth,some disputes overflow the legal settlement,and the medical law-related and violent incidents have emerged in an increasing number,which makes the current situation worrisome.Starting from the concept of medical disputes,this paper analyzes and studies the theories of new public service,social governance and crisis management,and holds that the deep-rooted problems in the prevention mechanism of medical disputes are the single perspective of current prevention,the malformed doctor-patient model,the lack of coordination in legal channels,the poor responsiveness in reality,and the lack of rule of law and humanistic spirit.Based on the problem-oriented in-depth analysis,it is concluded that the main reasons are the uneven medical resources and disorder caused by the medical reform,the deviation of the value of the people guided by the law,the imperfect mechanism of social security and medical insurance,the deviation of the guidance mechanism of the news media and the imbalance of the intervention of social forces.By learning the advanced experience of the medical system and dispute prevention mechanism in the United States and Japan,and considering the theory of crisis management,the government should pay enough attention to the allocation of medical risks and risk society,attach importance to the prevention at the source of lower cost,and build a diversified management mechanism integrating prevention and control in advance.The rule of law and the spirit of humanity should be implemented throughout the process,and the mechanism for coordinating and coordinating the handling and resolving issues should be coordinated.After the summary and promotion,the construction of closed-loop punishment warning deterrent long-term mechanism.Considering from the theory of social governance,we should pay attention to the integration of social resources,form a joint force of multiple subjects,participate in the balance and restriction of the game of all parties in medical disputes.Thinking from the new public service theory,we should pay attention to cultivating long-term social common values and public interests,avoid the overflow of medical disputes through extra-legal means,construct a mechanism from the top level,and promote a good basis for consultation and mediation.Finally,the countermeasures to construct the medical dispute prevention mechanism include: strengthening the government distribution leading and market guidance mechanism,standardizing and improving the media guidance and medical insurance assistance mechanism,and guiding the social forces to intervene mechanism;In the middle stage:improve the expert consultation mechanism before consultation,build a wide range of flexible mediation mechanisms involving third parties,coordination mechanisms for complaint mediation and punishment mechanisms for medical violations;Post-event stage:Improving the insurance mechanism of doctors’ association,establishing the mechanism of media information notification and warning,building the social credit system and the doctor-patient credit mechanism are beneficial to the smooth progress of the healthy China strategy.