Research On The Effectiveness Of Implementing Medical Dispute Monitoring Intervention System In A Provincial Hospital

Objectives:To explore an effective method on how to prevent and reduce medical disputes by carefully assessing the preliminary medical dispute monitoring system which was raised and put into practice after learning the current situation of medical disputes and understanding the characteristic and trace of the medical dispute. Statistic analysis on 171 paid medical dispute cases in a comprehensive hospital was employed in this researchMethod: Compared medical dispute cases before and after the monitoring system being put into use by the means of conducting statistic analysis on those cases occurred between August 2003 to 2010 in a comprehensive hospital in Yunnan province. Divided all cases into two groups: Traditional group which includes cases occurred between year 2003 to 2006 when traditional method was employed to prevent and handle disputes; Monitoring prevention group including cases occurred between year 2007 to 2010 after the monitoring pre-caution system had been introduced. The case number, paid cash, paid cash per case and happening rate of case per year were investigated by conducting statistic analysis and comparison research.Results: Surgery department and obstetrics and gynecology department are the high risk departments concerning the likelihood of medical dispute. Insufficient professional skill complication, medical accidents and un-strict implementation of the regulation are the main causes of medical disputes. Rural-resource patients, junior high school educated patients and patients over 60 are the high risk groups in terms of the medical dispute happening rate. Negotiation is the main way to solve these disputes. By carefully examining the data from traditional and monitoring group: for the monitoring group, the number of hospitalized patients per year is much higher than that of traditional group(p<0.01); the number and happening rate of dispute cases are much lower than those from traditional group(p<0.01); paid cash per year is also much lower than that from traditional group(p<0.05);the average paid cash per case doesn't have much difference with traditional group.Conclusion: medical dispute cases and the losses caused by disputes are greatly reduced after establishing and putting into practice a preliminary medical dispute monitoring pre- caution system, which was proved to be worthwhile to implement and promote in hospital management practice.