The Comprehensive Analysis Of Medical Dispute In An Affiliated Hospital Of Xinjiang Medical University

Objective: To understand the medical disputes and medical dispute cognitions ofmedical staffs in an affiliated hospital of Xinjiang medical university from2010to2013,ananlyze the causes, influence factors and treatments of medical disputes occurred in thishospital,then put forward countermeasures to prevent and control the medical disputes.Methods: Collect all the medical dispute cases of an affiliated hospital of Xinjiangmedical university from2010to2013; choose400medical staffs randomly and investgatemedical dispute cognitions of them by questionnaire designed by ourselves, then organizethese datas and analysis statistically. Results:1. Results of medical dispute case analysis:Medical disputes mostly happened in autumn; the first three originating reasons causedmedical disputes were “communication is not in place”(32.1%),“technological problems”(23.6%) and “the patient question the treatment because they don`t understand medicalknowledge (13.3%). The main measure to handle the medical disputes was solvingproblems by Doctor-patient communication office. The fault cases caused by hospitalincreased year by year, and the surgical was higher than the medicine. The economiccompensation of medical disputes is related to the character of hospital negligence andfinal results (P <0.05).The average periods of medical dispute treatment was about15days.2. Results of medical dispute cognitions of medical staffs: The medical staffs haddifferent demographic characteristics showed different evaluations to doctor-patientrelationship and different medical disputes (P <0.05). The medical staffs thought that thehigh demand of patients was the main reason caused medical disputes. Thecountermeasures to prevent and control the medical disputes could be classified into threetypes: Improve abilities of medical staffs themselves, perfect the health care system andstrengthen doctor-patient communication. Conclusion: Medical disputes prevention andcontrol should become one of the key works in this hospital in the future. They shouldreinforce the training on the knowledge of medical disputes and related laws, strengthenprofessional knowledge, improve the level of medical treatment, strengthen the serviceconsciousness, put more attention to doctor-patient communication to reduce the occurrence of medical disputes and provide the best quality service to patients.