| BackgroundIn recent years medical dispute has been increasing gradually and some cases of medical dispute, especially some cases with enormous compensate, have been revealed to the public through the news media. With the implementation of the regulations for handling medical accidents and offering testimony to prove doctors' innocence, the range of determining the nature of medical accidents has been enlarged, the items of medical compensate has gone up and the standards for medical compensate have been obviously increasing higher than those of the regulations for handling medical accidents. With the help of Insurance for Medical Responsibility, professional risk for medical staff has, to some extent, been decentralized in some medical units successfully. Nowadays, however, with the aid of the recent Insurance System for Medical Responsibility only some medical compensates caused by medical accidents can be handled. Some unforeseen medical issues, medical errors, medical defect and medical disputes, still can not be dealt with by Insurance Companies. Also it is hard for some medical units to pay for the extra payment, especially for the proportion of free compensation. And many problems exist, such as uncertainty of responsibility which section chief or head nurse should hold in the course of preventing medical accidents, difference of risk assess between different sections, and ambiguous duty for medical insurance. I think, it has become an urgentissue to enhance the management of medical professional risk and to handle the problems existing in the recent insurance system for medical responsibility.ObjectivesWhat I did is to look into the causes of medical professional risk for medical staff, with the help of analyzing the difference of risk assess between different sections, and to work out a set of assess system for medical professional risk, which is measurable, practical easily, and extensible. Meanwhile some ways are put forward to effectively settle some issues existing in the recent professional medical insurance system, such as unforeseen medical issues, medical errors, medical defect and medical disputes, with the aid of establishing the Individual Risk-taking Fund Based on Insurance for Medical ResponsibilityMethodsThe staff of Taizhou Hospital, Zhejiang was chosen as the research sample. By way of consulting reference books, interviewing and issuing questionnaries, the main risk factors influencing medical professions are discussed. The proportion and extent affected by the risk factors also are analyzed. In that case, the risk degree for different level and discipline staff is settled. The individual risk-taking fund can be examined according to professional section, degree of operating difficulty and work load , post and professional post, and so on. All relative data have been put into EXCEL data bank, and it will be tested scientifically with the facts.ResultsSix factors, influencing medical professional risk, mainly are working position, professional section, degree of operating difficulty and work load, on duty, post and professional post. The degree, which is different between doctors, nurses, medical staff and working staff, is 3.44: 2.95:2.05:1.Among 30 clinical sections, six sections with highest risk are first-aid centre, cerebro-surgery, thoracic surgery, department of obstetrics, department of paediatrics, cardiovascular department; six clinical sections with lowest risk are dermatological department, nuclear medical department, radiological department, department of radiotherapy oncology, department of traditional Chinese medicine, and oral surgery . Of eight medical technical sections, pathology department is on the top of risk level,and the department of electroencephalogram at the bottom. It shows the results are consistent with the hypothesis.ConclusionThrough analyzing the courses of professional risk, some basic factors, bringing medical professional risk, and the degree of the risk may be clearly picked out, so the value distribution may...
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