医疗纠纷成因分析和防范对策.pdfVIP

做好医疗基础工作；(3)充分利用好协商途径来解决纠纷；(4)医院 要重视医疗鉴定证据，做好举证倒置。 《最高人民法院关于审理人身损害赔偿案件适用法律若干问题的解 释》于2004年5月1日起施行，该司法解释对人身损害的赔偿规定与 《医疗事故处理条例》存在不少法律冲突，因此要明确医疗纠纷适用 法律的规范。在全民普及法律知识的基础上进行全民普及医学知识， 引进医疗仲裁解决医疗纠纷，通过这些措施的采用来更好地防范和处 理医疗纠纷。 结论： (1)医疗纠纷的产生原因多种多样，不单纯有行业内因素、患者 因素，社会因素也起到了一定的助推作用。 (2)解决纠纷不能仅仅依靠医疗机构的力量，政府也有一定的责 任在其中。 (3)解决和处理医疗纠纷中适用的法律不规范，亟待完善。 关键词： 医疗纠纷分析防范 ·2· The Causes Analysis and Prevention of Medical Tangles Master Postgraduate：Wang Gang Advisor Professor：Dong Aimin Specialty：Social Medicine and Health Administration ABSTRACT 0bjeetive In order to offer the reference about how to avoid and resolve the medical tangles，the author analyzed the causes of the medical tangles in one tertiary hospital of Liaoning province and found some problems in dealing with them． Methods Review the causes of 7 1 medical tangles which were disentangled by discussion or law of the hospital from Jan．200 1 to Dec． 2004 by the method of common statistics． Result The medical tangles occurred frequently in the General Surgery，the Urine Surgery and the Gynecology，which accounted for 36．38％of a11．The main reasons were the low technique level．the leaked diagnoses，the patients’misunderstand of the medical science，unexpected syndromes and medical personnel’S halfhearted works．Furthermore，the mean time of the tangles was 2 1．97 months．But for the medical tangles that solves through a judicial path，is not to only constitute the medical treatment to just undertake the responsibility，the medical mistake，the medical fault etc．Only the medical personnel existence problem will undertake the civil case responsibility on the law．The medical injury played a key role in tangles which were taken cognizance of by the count． Discussion In addition to the medical tangles dispute reason of the above—mentioned inquisition，the medical tangles profession inner part still there are many factors can cause the disputes．At the same time，many ·t‘ subjective consciousnesses of patients’oneself are also an output and main reason o