West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu 610041, China.
School of Forensic Medicine, Shanxi Medical University, Taiyuan 030000, China.
Fa Yi Xue Za Zhi. 2022 Apr 25;38(2):158-165. doi: 10.12116/j.issn.1004-5619.2022.220105.
To understand the perceptions of doctors, patients and forensic examiners on the current situation of medical disputes and medical damage identification in China, and to explore the medical damage identification model that is more conducive for the resolution of medical disputes.
A questionnaire was designed, and in-service clinicians, forensic examiners and inpatients in Sichuan Province and Chongqing City were randomly selected from April to November 2019. SPSS 22.0 software was used to analyze the data of various survey results.
Compared with patients (24.92%), doctors (61.72%) believed that the current doctor-patient relationship was more tense than before; both doctors and patients were more inclined to choose voluntary consultation and people's mediation to resolve medical disputes; forensic examiners have the highest level of cognition of medical and health-related laws and regulations, followed by doctors and patients; 66.72% of doctors and 78.41% of patients believed that medical damage identification was necessary, and they were more inclined to entrust forensic identification institutions; different groups all believed that forensic examiners and doctors should participate in the identification together, 80.94% of doctors believed that the appraisal institutions should be responsible for the forensic opinion, not the appraiser.
It is suggested that the Medical Association identification and forensic identification should learn from each other and formulate basic unified rules for the identification of medical damage. It is suggested to standardize the behavior of medical damage forensic identification institutions and appraisers, to improve their own appraisal level, actively invite clinical medical experts for consultation in identification, and promote the standardized, scientization of forensic identification.
了解医生、患者和法医鉴定人对当前我国医疗纠纷和医疗损害鉴定现状的看法，探索更有利于解决医疗纠纷的医疗损害鉴定模式。
采用问卷调查法，于 2019 年 4 月至 11 月在四川省和重庆市抽取在职临床医生、法医鉴定人及住院患者进行调查。采用 SPSS 22.0 软件进行数据的统计分析。
与患者（24.92%）相比，医生（61.72%）认为当前医患关系较前更为紧张；医生和患者均更倾向于选择自愿协商和人民调解来解决医疗纠纷；法医鉴定人对医疗卫生相关法律法规的认知水平最高，其次是医生和患者；66.72%的医生和 78.41%的患者认为医疗损害鉴定有必要，且更倾向于委托法医鉴定机构进行鉴定；不同群体均认为法医鉴定人和医生应共同参与鉴定，80.94%的医生认为鉴定机构应负责出具法医意见，而不是鉴定人。
建议医学会鉴定与法医鉴定相互学习，制定医疗损害鉴定基本统一规则。规范医疗损害法医鉴定机构及鉴定人的行为，提高自身鉴定水平，积极邀请临床医疗专家参与鉴定咨询，推动法医鉴定的规范化、科学化。
