摘要
基于2011年至2016年山西、宁夏、新疆、辽宁、海南、甘肃六省数据,本文系统考察了医疗责任保险的实施对不同类型医疗纠纷的作用。研究发现,医疗责任保险并不能抑制整体医疗纠纷的增加,甚至会刺激“缓和型医疗纠纷”的上涨;但会降低“激烈型医疗纠纷”的发生数量。因此,医疗责任保险的社会治理功能主要通过抑制“激烈型医疗纠纷”而实现。进一步的研究发现,2015年实施的“平安医院”建设会削弱医疗责任保险对整体医疗纠纷和缓和型医疗纠纷的刺激作甩而地方政府行政干预的减少会增强医疗责任保险对激烈型医疗纠纷的抑制效果。本文的研究结论对于全面理解医疗责任保险的作用及推动医疗责任体系改革均具有重要意义。
Using the data from 2011 to 2016 in Shanxi,Ningxia,Xinjiang,Liaoning,Hainan and Gansu as examples,this paper empiricaly tested the effect of medical malpractice insurance on medical disputes.The findings indicate that:the effect of medical malpractice insurance on different types of medical disputes is heterogeneous.Specifically,medical malpractice insurancecan't inhibit the increase of overall medical disputes.It even stimulates the rise of"moderate medical disputes".But medical malpractice insurance will reduce the number of"intense medical disputes"Therefore,the positive effect of medical malpractice insurance is mainly realized by restraining"intense medical disputes".Further research finds that,the implementation of"Ping'an Hospital"in 2015 will weaken the stimulating effect of medlical malpractice insurance on overall medical disputes and moderate medical disputes,while the reduction of administrativeintervention by local governments will enhance the restraining effect of medical malpractice insurance on intense medical disputes.
作者
张祥祯
阳立高
赵杨
ZHANG Xiang-zhen;YANG Li-gao;ZHAO Yang
出处
《科学决策》
CSSCI
2019年第11期25-48,共24页
Scientific Decision Making
基金
国家社科基金重点项目(项目编号:18AJL008)
关键词
医疗责任保险
缓和型医疗纠纷
激烈型医疗纠纷
medical malpractice insurance
moderate medical disputes
intense medical disputes
