Research On Several Medical Disputes Caused By Drug Factors

Although China's drug regulatory system is constantly improving,there are still major problems in the use of clinical drugs.The prevention and resolution of medical disputes has always been a difficult problem faced by medical institutions and administrative departments.Comprehensive research at home and abroad,most of which are research on the overall content of medical disputes,lack of systematic research on typical medical disputes,There is no systematic analysis of medical disputes caused by drug use.ObjectiveThis study first defines the medical disputes caused by drug use,and summarizes the main factors that cause such disputes.Then,starting from the statistical analysis of drug medical disputes,it is easy to develop the medical disputes caused by drug use.The status quo of the location and other characteristics;combined with the existing medical dispute prevention and resolution mechanism,analyze the existing medical dispute prevention and resolution mechanism to solve the experience of drug medical disputes;finally compare the unique characteristics of drug disputes,and build drug medical disputes The 5GAP model for prevention and resolution accurately analyzes the problems of such disputes,and aims to reduce drug medical disputes through refining countermeasures.Methods(1)the study of the factors that lead to medical disputes in drug use:Specifically analyze the medical disputes caused by improper use of drugs,drug quality problems and adverse drug reactions,and define such disputes to summarize the main factors of disputes.(2)the study of the characteristics of the source of the dispute:Selecting the data of the medical accident disputes in the petition system of the National Health and Health Commission,and analyzing the distribution of the hospital level,the place of occurrence,the type of drug use,and the solution to the choice of patients after medical disputes caused by drug use in medical institutions,The current state of occurrence of medical disputes caused by drug use.(3)the empirical research on the existing medical dispute prevention and resolution mechanism.Divided into three steps:? Research on the current status of existing medical dispute prevention and resolution mechanisms.Through interviews and investigations,we will understand the mediation,mediation,judicial mediation and medical liability insurance construction of representative representatives in typical areas,and summarize the main ways of preventing and resolving medical disputes.?Research on the prevention and resolution of medical disputes in the use of drugs.By further analyzing the data of medical dispute resolution methods caused by drug use,the problems of the solution of such disputes are summarized,and the systematic analysis of the typical dispute cases is used to fundamentally find out the reasons for these problems.?Advanced experience research on foreign medical dispute prevention and resolution mechanism.Through extensive collection and access to literature,we compare the methods of medical dispute prevention in developed countries in the United States,Japan,and the United Kingdom,and summarize the advanced practices of foreign dispute resolution.(4)the prevention and resolution of drug medical disputes.It is divided into two steps:? The similarities and differences between drug medical disputes and other medical disputes.From the occurrence and development of disputes,the main body of responsibility and the whole process of compensation,analyze the special features of drug medical disputes and other disputes,provide the basis for the final policy recommendations,and prevent and resolve drug medical disputes from the root cause.? Service quality analysis based on 5GAP model.Aiming at the two links of drug medical dispute prevention and resolution,the corresponding service quality model is established,and the causes of dispute prevention and resolution in the service quality gap are analyzed separately,and the problem of drug medical disputes is accurately found.(5)policy recommendations:Policy recommendations for the occurrence of medical disputes caused by drug use,existing problems,and foreign advanced experience are aimed at reducing the occurrence of medical disputes caused by drug use.Result(1)The main factors influencing drug use medical disputes are doctors,nurses and patients themselves,improper drug use,drug quality problems and adverse drug reactions.The main influencing factors are improper use of doctors and nurses.(2)Medical disputes caused by drug use occur in secondary and tertiary hospitals and outpatients.The high-risk groups of disputes are elderly people,children and pregnant women over 60 years old,and are mainly caused by the use of chemical drugs.From the solution of the choice of the patient after the dispute,the satisfaction of the patient and the hospital is not high.Most patients hope that the government can intervene to help them fight for their rights.(3)The existing "three mediation and one insurance" medical dispute prevention and resolution mechanism is generally effective,and people's mediation has gradually become the main channel for mediation of medical disputes.However,only a small number of medical disputes caused by drug use have chosen people's mediation.Through advanced foreign experience,we can use mediation as a preprogram for medical disputes,improve the medical liability insurance system,and actively involve the administrative department.(4)Compared with other medical disputes,drug use medical disputes have distinct specialities in the causes,development,responsible subjects and compensation of disputes.Compared with other medical disputes,drug medical disputes have distinct specialities in the causes,development,responsible subjects and compensation of disputes.Governments,medical institutions,etc.should solve the problem of drug medical disputes,supplemented by prevention and construction.Prevent and resolve drug medical disputes through the promulgation of relevant policies,improvement of relevant regulations,strengthening supervision of existing policies,and green medical dispute resolution.Conclusion and suggestionThrough the research on the factors,the characteristics of the status quo and the construction of the prevention and mitigation mechanism,the policy recommendations are drawn:(1)Government:promote the relevant legislation of pharmacists;strengthen the training of clinical pharmacists;do a good job in the clinical application management of chemical drugs,traditional Chinese medicines,and biological products;increase the composition ratio of medicinal pharmacists in the medical damage identification expert database;Actively guide third-party people to mediate as the main channel for dispute resolution;improve the drug adverse reaction relief mechanism.(2)medical institutions:Strengthen the standardization of pharmacy management;do well the notification work for medical staff and patients;hospitals at all levels take corresponding measures according to the characteristics of their own disputes;continuing education to open a pharmacy management course.(3)Enterprise:Further improve the drug manual,and carry out training on safe drug use for doctors and the society;strengthen the research on rational drug use for special populations.(4)Social:Improve the people's awareness of clinical rational drug use,strengthen the understanding of the patient on medical staff;pay attention to the guiding role of the media.