Yin Tianlu, Liu Zhaojie, Xu Yanli
Department of Social Medicine and Health Management, La Trobe University, Melbourne, Australia.
Department of Health Management, La Trobe University, Melbourne, Australia.
Iran J Public Health. 2019 Dec;48(12):2116-2123.
At present, the increasing trend of medical disputes has become a serious problem in the work of medical institutions, and directly affects the social stability and orderly development of the institutions. We searched the literature on medical disputes and crisis management in China and Australia within PubMed (2010-2019), China Knowledge Network (CNKI, 2010-2019), and Wanfang Data Knowledge Service Platform (2010-2019). There are several drawbacks in the management of hospital medical disputes in China: 1) the knowledge of crisis is unilateral and not systematic; 2) there are too much stereotype thoughts in crisis management; 3) the crisis attribution is too simple; the crisis impact assessment is insufficient. It is worth learning from Australia's system, including the legal system, relevant non-governmental organizations, and doctor-patient communication. In view of the malpractice existing in China's medical dispute management, Australia's legal system for handling disputes, doctor-patient communication and other aspects are worthy of our reference. In particular, the construction of third-party supervision and mediation institutions and the prevention of doctor-patient disputes should be optimized.
目前，医疗纠纷呈上升趋势，已成为医疗机构工作中的严重问题，直接影响社会稳定和医疗机构的有序发展。我们检索了PubMed（2010 - 2019年）、中国知网（CNKI，2010 - 2019年）和万方数据知识服务平台（2010 - 2019年）上关于中国和澳大利亚医疗纠纷及危机管理的文献。中国医院医疗纠纷管理存在几个弊端：1）危机知识片面且不系统；2）危机管理中刻板思维过多；3）危机归因过于简单；危机影响评估不足。澳大利亚的体系，包括法律体系、相关非政府组织以及医患沟通等方面值得借鉴。鉴于中国医疗纠纷管理存在的弊端，澳大利亚处理纠纷的法律体系、医患沟通等方面值得我们参考。特别是应优化第三方监督调解机构的建设以及医患纠纷的预防。
