摘要
目的分析医疗纠纷行为产生的原因和对医疗行为的影响。方法于吉林省长春市某医院选取64例医疗纠纷事件及55名医务人员,对其进行回顾性分析,探究导致医疗纠纷产生的主要原因以及对医疗行为的影响。结果64件医疗纠纷事件涉及科室主要为外科、急诊科、内科、妇科、儿科,各科室医疗纠纷事件例数分别为31例、7例、12例、6例、8例,占比分别为48.43%、10.93%、18.75%、9.37%、12.5%。其中,因医患沟通导致17例,医疗费用3例,诊疗程序35例,病历管理9例,占比分别为26.56%、4.68%、54.68%、14.06%。且涉及医疗纠纷的30名医务人员存在防御性医疗行为,而其余25例未参与医疗纠纷的医务人员无防御性医疗行为。结论形成医疗纠纷的影响因素较多,且在医疗纠纷的影响下,医务人员有较大的可能出现防御性医疗行为,同时参与过医疗纠纷的医务人员更容易出现防御性医疗行为,对促进吉林省长春市某医院医患关系缓解有所阻碍,需及时进行改善。
Objective To analyze the causes of medical disputes and their impact on medical behaviors.Methods In a hospital in Changchun City,Jilin Province,64 cases of medical disputes and 55 medical staff were selected,and retrospective analysis was conducted to explore the main causes of medical disputes and their impact on medical behavior.Results 64 medical disputes involved many departments,mainly surgery,emergency department,internal medicine,gynecology,and pediatrics.The number of medical disputes in each department was 31,7 and 12,6 cases,8 cases,accounting for 48.43%,10.93%,18.75%,9.37%,12.5%,respectively.Among them,17 cases were caused by doctor-patient communication,3 cases of medical expenses,35 cases of diagnosis and treatment procedures,and 9 cases of medical record management,accounting for 26.56%,4.68%,54.68%,and 14.06%respectively.In addition,30 medical personnel involved in medical disputes had defensive medical behaviors,while the remaining 25 medical personnel who did not participate in medical disputes had no defensive medical behaviors.Conclusion There are many influencing factors in the formation of medical disputes,and under the influence of medical disputes,medical staff are more likely to have defensive medical behaviors.At the same time,medical staff who have participated in medical disputes are more likely to have defensive medical behaviors,which is more effective in promoting the doctor-patient relationship in a hospital in Changchun City,Jilin Province has been hindered from alleviating and needs to be improved in time.
作者
边春利
于明洋
程雪
段春艳
BIAN Chun-li;YU Ming-yang;CHENG Xue;DUAN Chun-yan(Changchun University of Traditional Chinese Medicine,Changchun,Jilin Province,130117 China;Affiliated Hospital of Changchun University of Traditional Chinese Medicine,Changchun,Jilin Province,130021 China)
出处
《中国卫生产业》
2020年第35期177-179,共3页
China Health Industry
关键词
医疗纠纷
原因
医疗行为
防御性医疗行为
Medical dispute
Cause
Medical behavior
Defensive medical behavior
