Study of the factors causing medical disputes in a Third-Level Grade A Hospital in Shanghai

摘要

Objective By analyzing cases of medical disputes occurred in one of top hospitals in Shanghai from 2012 to 2014, the paper tries to determine the causes and cures of the disputes based on relevant national and international experience. Methods A cluster sample of medical disputes occurred in the hospital from 2012 to 2014 was selected, to which logistic regression analysis was applied in order to determine the factors causing medical disputes. Results Inadequate experience in dealing with unexpected incidents (P = 0.002), violation of routine procedures for diagnosis and treatment (P = 0.004), and therapeutic effects (P = 0.007) were found to be statistically significant. Conclusion Medical disputes in the hospital would be substantially reduced by taking such measures as strengthening trainings on how to deal with unexpected incidents for medical staff, standardizing procedures for clinical practices, and improving the therapeutic effects of various diseases.