目的：了解医患纠纷基本情况，分析其成因与影响，探讨化解医患纠纷的对策，为构建和谐医患关系提供决策参考。方法收集2011—2013年某省三级医院及部分县级综合医院医患纠纷相关信息并统计分析。结果医患纠纷数量与赔偿金额逐年攀升，纠纷发生率逐年下降；政府卫生投入不足，资源配置不合理；非医疗技术过失成为医患纠纷的主要原因；医闹频发，伤医、伤财情况不容小觑；以医患双方协商处理为主，外界干扰因素加大公正处理的难度。结论加快探索分级医疗体系；坚持患者需求至上；实施医疗责任保险制度；出台专业法规防范恶性医闹事件。%Objective: To study basic situation of medical disputes, analyze the causes and influences, explore the countermeasures of defusing medical disputes, and provide decision-making references for the construction of harmonious doctor-patient relationship. Methods: Based on the questionnaire survey, we collected information about medical disputes of tertiary hospitals and part of county level comprehensive hospitals in a province from 2011 to 2013 for statistic analysis. Results: The number of medical disputes and compensation was increased and incidence of medical was decreased year by year. The government was insufficient on health investment, and the allocation of resources was unreasonable. The non-medical technical fault became the main cause of medical dispute and “medical trouble” was frequent. The situation of doctor harmed and money wasted should not be underestimated. Doctor-patient consultation was still the main treatment way, but interference factors increase the difficulty of the fair treatment. Conclusion: Government should accelerate the exploration of classified medical system, insist the supremacy of the needs of patients. Medical liability insurance system must be implemented, and professional regulations ought to be issued to prevent malignant medical trouble events.
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