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江苏卫生事业管理:2020,Vol.>>Issue(7):895-898
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盐城市96例医疗损害责任纠纷案件的情况分析
沈 刚,戴月华,吴丽华,乔学斌*
(南京医科大学医政学院,盐城市第三人民医院医患沟通办公室;医院办公室)
96 Cases of Medical injury liability dispute analysis in Yancheng
SHEN Gang,DAI Yuehua,WU Lihua,QIAO Xuebin*
(School of Health Policy&Management,Nanjing Medical University,Doctor-patient Communication Department,Yancheng Third People’s Hospital;President’s office)
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中文摘要: 目的:探究盐城市医疗损害责任纠纷案件的现状,分析存在问题并提出改进建议,以切实减少医疗纠纷。方法:采用回顾性研究方法,对盐城市2016—2018年的96例医疗损害审结案件进行整理、分析和总结。结果:(1)基本情况:案件多发于经济相对发达的区县,中老年人在涉案患者中占比较高,涉案医疗机构以二、三级医院为主,骨科、妇产科和普外科占比居前三;(2)鉴定情况:进入实质审理的案件均进行了鉴定,以单纯医疗损害鉴定为主,经鉴定81.3%的案件医方有责任,其中医疗技术过错、医疗告知不充分占主要原因,鉴定伤残率达72.9%;(3)判决情况:案件审理时长平均需11.99个月,涉案纠纷平均赔偿约13.4万元。结论:医疗机构应严抓医疗服务质量,加强对高危科室和高危人群的管理,建立医疗风险预警机制,及时处理医疗纠纷。
中文关键词: 医疗损害  案件  医疗纠纷  防范
Abstract:Objective:To explore the status of medical injury liability disputes in Yancheng,analyze the existing problems and propose improvements to reduce medical disputes. Methods:The research adapt retrospective study method,96 cases of medical injury liability disputes in Yancheng from 2016 to 2018 were collected and analyzed. Results:(1)Cases occur frequently in more developed districts. Middle-aged and elderly people account for a high proportion,The medical institutions are mainly secondary or tertiary hospitals,with orthopedics,obstetrics and gynecology and general surgery accounting for the top three;(2)The cases that have entered the substantive trial have been identified,mainly based on medical damage evaluation,81.3% of the cases are evaluated responsible . Among them,medical technology faults and insufficient medical notifications account for the main reasons,identified disability rate reached 72.9%;(3)The average trial time is 11.99 months,and the average compensation for the disputes is about 134,000 yuan. Conclusions:Medical institutions should pay close attention to the quality of medical service;Strengthen the management of high-risk departments and high-risk groups,establish a medical risk warning mechanism,and promptly handle medical disputes.
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沈 刚,戴月华,吴丽华,乔学斌*.盐城市96例医疗损害责任纠纷案件的情况分析[J].江苏卫生事业管理,2020,31(7):895-898.
SHEN Gang,DAI Yuehua,WU Lihua,QIAO Xuebin*.96 Cases of Medical injury liability dispute analysis in Yancheng[J].Jiangsu Health System Management,2020,31(7):895-898.

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