第三部门介入医疗纠纷处理地路径研究.pdfVIP

中文摘要 基于第三部门介入的视角的公共管理视域下医疗纠纷解决路径主要是指中 立的第三方(某些机构或组织)通过对医患双方争议的焦点进行分析、评价，向医 患双方说明事实，给医患双方提出解决争议的指导性意见供其参考，使医患双方 能够认清事实，理性对待争议问题的处理。进而对当事双方进行劝和，促成双方 相互谅解，达到医患双方和好的目的。 本文通过对现在医疗纠纷现况，对现行解决医疗纠纷途径提出面临的问题， 并对医疗纠纷的概念，医疗纠纷的分类和特点，以及相关理论基础进行阐述。同 时对医疗纠纷的成因进行分析，包括医院提供的医疗服务不能满足患者的需求； 社会保障体系不完善；医患之间存在沟通障碍等。并且对当前我国现有医疗纠纷 解决路径的进行评析，包括医患双方协商解决、卫生行政部门调解以及民事诉讼 三种解决方式的优点和缺点分析评述。 本文借鉴国外医疗纠纷解决路径，从美国、西欧与日本等先进国家对医疗纠 纷的解决路径中分析、比较并总结出国外医疗纠纷解决路径给予我国的启示。从 而作者对于基于第三部门介入的视角总结出的完善我国医疗纠纷解决路径的对 策。包括建立第三方调解机构（即作者提出的调解委员会）直接对于医疗纠纷进 行调解，并对此由政府主导建立起一系列配套制度如建立医疗纠纷的预防机制， 创建纠纷调解联动机制，建立和完善医疗机构责任保险机制等。并由政府通过立 法增强调解委员会的中立性、专业性和权威性。 II Abstract From the perspective of public management and intervention of the third sector, the solution to medical disputes mainly means that a neutral third party shall state facts to the doctor and patient through analyzing and evaluating the focus of controversy and provide them with some guidance for reference so as to make the both parties know the truth and treat the dispute rationally. And then it shall try to make peace between the parties hereto, contribute to the mutual understanding and realize the peace between the doctor and patient. Through analyzing the situation of medical disputes nowadays, this paper raises some problems on the solutions and explains the concept, classification and features of medial disputes and the theories concerned. Meanwhile, it analyzes the causes for medical disputes, including failure of medical services in meeting the demands of patients, incomplete social security system and communication barriers between the doctor and patient, etc. Still, this paper makes an analysis of the existing solutions to medical dis