Medical Dispute Case Investigation And Countermeasure Research Of One District

'Medical Risks exist anywhere'has been accepted all over the world. They exist in outpatient, inpatient, hospital and other sectors, and hide in the process of diagnosis treatment and rehabilitation. In recent years, with the rapid development of China's health service, the number of medical disputes increases year by year. As a health manager, we should face the medical dispute status, understand the characteristics of medical dispute, take appropriate measures to control it and protect the common benefits of both doctors and patients.This subject take medical disputes as the main study object., and aim to figure out the distribution and characteristics of medical disputes, extract the main reason cited for the medical disputes, then give some appropriate policy recommendations through investigation and analysis one district's medical dispute cases. This study is divided into four parts.The first part is a survey of a district's medical disputes. Medical dispute cases of the area from 2007 to 2009 is investigated on the foundation of knowing the information of health care resources. There are pie charts and histograms to describe the distribution of medical dispute in time, space and groups.In the second part, we analyzed the data of medical disputes. Count the sample of medical disrupts after assort them, and input results into the software of SAS. We use the x2 test to clarify the specific features of medical disputes in different circumstances, then discussed them. This part has draw conclusions as follows:Incidence of medical disputes in high-level hospital is higher than others. Inpatients are more likely to have medical disputes than outpatient and emergency. Surgical department is the most vulnerable area to exist medical dispute in clinical departments. In emergency and surgery, Grade-II hospital is more likely to have medical disputes than Grade-â…¢hospital.In the third part, we focused on the complaints of medical disputes, analyze the reasons of each case and composed them. After these steps, we extract nine main factors from society, hospital and patients. I. The overall shortage of health care resources, negative impact on public media, lack of medical skills, accountability. weak awareness of medical services among the stuffs, oversight of hospital management system, patients have more awareness of safeguard legal rights but less medical knowledge and the patient's own reasons.The fourth part is suggestion on policy recommendations. Based on the above study, we study files and ask exporters for advice and give corresponded countermeasures to prevent and handle medical disputes. Five strategies to prevent medical disputes:policy development, training of medical staffs, hospital management, improvement and construction of physician-patient relationship and so on. Four strategies to handle medical disrupts:mainly in improve medical law, build risk-sharing mechanism, formulate the contingency plans disputes and alternative dispute resolutionThis subject targets on occurred medical disrupts, study the knotty problems of hospital management. Survey data is extensive and detailed; research methods are scientific and effective; conclusions are real and targeted. The research has certain benefits to health policy makers and hospital managers.