The role of mediation in solving medical disputes in China
The role of mediation in solving medical disputes in China
复制标题
调解在解决中国医疗纠纷中的作用
DOI：
10.1186/s12913-020-5044-7
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发表时间：
2020-03
影响因子：
2.8
通讯作者：
Cui Yujie
中科院分区：
文献类型：
--
作者：
Wang Mengxiao;Liu Gordon G.;Zhao Hanqing;Butt Thomas;Yang Maorui;Cui Yujie
背景医疗诉讼代表了医疗保健系统不断增长的成本。调解，仲裁和其他替代性争议解决（ADR）方法越来越多地用于帮助解决争议和提高医疗保健满意度。在中国，越来越多的医疗纠纷导致了对医生安全的担忧以及医患之间的不信任，导致近年来在多个省份建立了ADR程序。我们的目的是描述和解释这一新的调解过程中的影响，在中国的医疗system.MethodsOur研究调查调解实践中使用的案例级数据从5614调解记录在广东省2013年和2015年之间。我们调查了如何解决的成功，以及补偿与案件的特点，使用回归analysis.ResultsAmong的分析，1995（41%）的情况下，解决了协议通过调解，1030被关闭的和解，559被关闭的指法院和1017例调解后撤回。在调解员的帮助下，现场解决了505件疑难案件。我们发现，在现有机制下，调解解决了约90%的医疗纠纷，而科普“医闹”需要更多的警察支持。平均调解费60,200元，平均调解时间87天。较长的时间来达到解决和更多的钱索赔的患者与较低的解决成功率（p< 0.01）和较高的赔偿水平（p < 0.01）。结论我们的研究结果显示，调解机制在中国，以帮助解决医疗纠纷的性能。ADR在减少提起诉讼的必要性方面发挥着作用，并可能最终提高对医疗保健系统的满意度。
BackgroundMedical litigation represents a growing cost to healthcare systems. Mediation, arbitration, and other alternative dispute resolution (ADR) methods are increasingly used to help solve the disputes and improve healthcare satisfaction. In China, the increasing number of medical disputes has contributed to concern for the safety of physicians and mistrust between physician and patients resulting in ADR processes being established in several provinces in recent years. Our aim was to describe and explain the impact of this new mediation process in the Chinese healthcare system.MethodsOur study investigated mediation practices in China using case-level data from 5614 mediation records in Guangdong Province between 2013 and 2015. We investigated how the resolution success as well as the compensations are associated with the case characteristics using regression analysis.ResultsAmong the cases analyzed, 1995 (41%) were solved with agreement through mediation, 1030 were closed by reconciliation, 559 were closed by referring to court and 1017 cases were withdrawn after mediation. Five hundred fiveYinaocases were solved with the help of mediators on the spot. We find that mediation solved about 90% of medical disputes under present mechanisms, while more police support is needed to cope withYinao. The average compensation of mediation is CNY60,200 and average length of mediation is 87 days. Longer time taken to reach resolution and more money claimed by patients are associated with lower resolution success rate (p< 0.01) and higher compensation levels (p < 0.01).ConclusionOur results show the performance of mediation mechanisms in China to help solve medical disputes. ADR plays a role in reducing the need for initiating litigation and may ultimately increase satisfaction with the healthcare system.
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影响因子：
5.3
作者：
通讯作者：
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1998年至2011年，中国医疗事故诉讼案件的索赔，负债，损害和赔偿。
影响因子：
2.8
作者：
Li H;Wu X;Sun T;Li L;Zhao X;Liu X;Gao L;Sun Q;Zhang Z;Fan L
通讯作者：
Fan L
DOI：
10.1016/s0140-6736(14)61439-2
发表时间：
2014-08
期刊：
The Lancet
影响因子：
--
作者：
Liu Yueju
通讯作者：
Liu Yueju
DOI：
10.1596/978-1-4648-1263-7
发表时间：
2019-03
期刊：
--
影响因子：
--
作者：
通讯作者：
--
DOI：
--
发表时间：
2013
期刊：
--
影响因子：
--
作者：
Toshimi Nakanishi
通讯作者：
Toshimi Nakanishi