中国全科医学2017，Vol.20Issue(16)：2007-2011,5.DOI:10.3969/j.issn.1007-9572.2017.16.021
居民对医疗纠纷第三方调解机制的认知与需求研究
Residents′ Awareness and Requirements for the Third-party Mediation Mechanism for Medical Disputes
摘要
Abstract
Objective To investigate the residents′ awareness and requirements for the third-party mediation mechanism for medical disputes(hereinafter referred to as TMMMD).Methods In April and May 2016,using convenience sampling,460 residents in Guangzhou were sampled to attend the online survey or field survey via a self-developed questionnaire covering the aspects of the demographic data,attitude toward the TMMMD and suggestions to the People′s Conciliation Committee for Medical Disputes(PCCMD).Results About 90.0%(414/460) of the respondents who responded the survey effectively were selected as the final participants.Among them,37.0%(153/414) had not heard of the TMMMD,50.0%(207/414) heard of it,but did not know the details,11.8%(49/414) knew that it can conciliate the medical disputes and knew that the PCCMD is a kind of TMMMD,only 1.2%(5/414) deeply understood it;residents aged ≤30 had lower awareness of the TMMMD than those aged 31~50(P<0.05);residents with the experience of medical disputes had higher awareness of the TMMMD than those without(P<0.05);62.1%(257/414)were in favor of conciliating the medical disputes by the TMMMD;78.3%(324/414)worried that the conciliator might build long-term cooperation with the hospital and favor the hospital when settling the disputes;28.5%(118/414)preferred the members from health administrative departments to conciliate the medical disputes;53.4%(221/414)thought that it would be the best if the expense for conciliating medical disputes was financed by the government;73.2%(303/414) considered that the best procedure for conciliating medical disputes was face-to-face confrontation between doctors and patients in publicly conciliating;in terms of the causes associated with unchoosing the TMMMD,62.8%(260/414) hold that the public awareness for the TMMMD was weak due to poor publicity,and 43.2%(179/414) were inclined to that the conciliation conducted by it was unneutral and unfair.Conclusion In the participants,the awareness for the TMMMD was weak,but it was supported mostly after being introduced briefly;the procedure of face-to-face confrontation between doctors and patients in publicly conciliating was preferred;the expense for the conciliating was hoped to be financed by the government;the TMMMD was not trusted mainly due to poor publicity,distrusting the neutrality and fairness of the conciliation done by it and lack of guarantees for bringing the conciliation results into practice.In view of these points,the following suggestions are put forward:strengthening the publicity of the TMMMD targetedly;improving the qualities of the conciliators;perfecting the avoidance system;standardizing the nature of ownership of the TMMMD;stabilizing the funding for the conciliating;demonstrating the legal effect of the conciliation results by signing the special civil contract and establishing an insurance compensation mechanism for medical accidents.关键词
医生病人关系/第三方调解机制/认知/需求Key words
Physician-patient relations/Third-party mediation mechanism/Cognition/Requirement分类
医药卫生引用本文复制引用
缪家清,孙刚..居民对医疗纠纷第三方调解机制的认知与需求研究[J].中国全科医学,2017,20(16):2007-2011,5.基金项目
广东省自然科学基金项目(2016A030313722) （2016A030313722）
广东省哲学社会科学"十二五"规划2015年度项目(GD15CGL13) （GD15CGL13）
湖北省高校人文社会科学重点研究基地"中医药发展研究中心"重点项目(ZX2015D04) （ZX2015D04）
国家社科基金项目(16BGL184) （16BGL184）
南方医科大学卫生管理学院资助项目(WG2016016) （WG2016016）
2016年度大学生创新创业训练计划项目(201612121094、201612121250) （201612121094、201612121250）
