医患认知差异与医疗纠纷成因分析.pdfVIP

上海交通 大学学报 (医学版 ) Journal of Shanghai Jiaotong University(Medical Science) 文章编号：0258—5898(2008)08—1035—03 · 卫生事业管理· 医患认知差异与医疗纠纷成因分析 甘 宁 ， 虞 涛 ， 陈尉华 ， 张宏伟 (上海交通大学 医学院仁济医院 1．医务部，2．门诊办公室，上海 200127) 摘 要：日的 找出因医患认知差异引发医疗纠纷的关键因素，以控制医疗纠纷发生及发展。方眭 把上海3所医院(其中三级 甲等综合医院2所，三级甲等专科医院1所)2002～2006年门诊、住院患者及医务人员作为调查对象，采用随机抽样方法进行调 查分析。结果 医患双方对卫生法律、医疗服务和权利义务等医疗纠纷影响因素存在显著认知差异。结论 医患认知差异是产 生医疗纠纷的重要原因，必须采取有效措施进行预防和干预。 关键词：医患关系； 认知差异； 医疗纠纷 中图分类号：R19 文献标志码：A Analysis of differences in cognition between doctors and patients and causes of medical disputes GAN Ning ，YU Tao ，CHEN Wei—hua ，ZHANG Hong—wei ( ．Department of Medical Administration，2．Outpatient Office，Re Hospital，School of Medicine，Shanghai Jiaotong University，Shanghai 200127，China) Abstract： Objective To identify the key factors triggering medical disputes induced by differences in cognition between doctors and patients in order to control the occurrence and development of medical disputes． Methods From 2002 to 2006，the outpatients，inpatients and medical staff of 3 hospitals in Shanghai(class 3 first level general hospital，n=2； class 3 first level special hospital，n=1)were investigated，and random sampling method was employed for the research analysis． Results There were significant differences between doctors and patients in cognition of influential factors triggering medical disputes such as health law，medical services，rights and obligations． Conclusion The differences in cognition between doctors and patients are important causes for medical disputes，and effective prevention and intervention measures must be taken． Key words： doctor—patient relationship；difference in cognition；medical dispute 医疗纠纷是当今社会在医疗卫生服务领域关注 疗纠纷的书面文档。 的热点之一，随着医疗保障制度改革的深人，医患矛 1．2 调查方法 根据2002～2006年度该3所医院 盾从后台被推向前台。《医疗事故处理条例》实施 发生的医疗纠纷随机抽样结果，采取自拟调查表的 后