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医疗保健中的调解:超越法庭,加强医患之间的冲突解决。

Mediation in Healthcare: Enhancing Conflict Resolution Between Patients and Physicians Beyond the Courtroom.

作者信息

Dimitrov Kostadin, Miteva-Katrandzhieva Tsonka

机构信息

Social Medicine and Public Health, Medical University of Plovdiv, Plovdiv, BGR.

出版信息

Cureus. 2024 Dec 10;16(12):e75487. doi: 10.7759/cureus.75487. eCollection 2024 Dec.

Abstract

Healthcare is defined by rapidly advancing technologies and increased patient expectations, resulting in frequent disagreements between patients, their families, and medical practitioners. Historically, these conflicts have been settled through the adversarial court system, which frequently fails to produce equitable results due to unequal legal representation, procedural difficulties, and other shortcomings. This analysis investigates mediation, a type of Alternative Dispute Resolution (ADR), as a viable option for addressing healthcare disputes. Mediation is a voluntary, flexible, and confidential process in which a neutral third party organizes negotiations to help conflicting parties reach an agreement. Unlike litigation, mediation promotes open communication, empathy, and the preservation of relationships, which enhances patient trust and satisfaction. Furthermore, mediation resolves disputes more quickly and cost-effectively than traditional court proceedings, significantly reducing the emotional and financial burdens on all parties involved. This review examines the benefits of mediation, focusing on its role in preserving physician-patient relationships, reducing legal costs, and improving overall healthcare outcomes. The use of mediation in healthcare conflict resolution provides a more effective, compassionate, and lasting resolution that benefits healthcare institutions, practitioners, and patients.

摘要

医疗保健的特点是技术迅速发展和患者期望提高,这导致患者、其家属和医生之间经常出现分歧。从历史上看,这些冲突是通过对抗性的法院系统解决的,但由于法律代理不平等、程序困难和其他缺点,该系统往往无法产生公平的结果。本分析探讨了调解这一替代性纠纷解决方式(ADR)作为解决医疗纠纷的可行选择。调解是一个自愿、灵活且保密的过程,由中立的第三方组织谈判,以帮助冲突各方达成协议。与诉讼不同,调解促进开放沟通、同理心和关系维护,从而增强患者信任和满意度。此外,调解比传统法庭程序更快、更经济高效地解决纠纷,显著减轻所有相关方的情感和经济负担。本综述探讨了调解的益处,重点关注其在维护医患关系、降低法律成本和改善整体医疗结果方面的作用。在医疗纠纷解决中使用调解提供了一种更有效、更具同情心且持久的解决方案,使医疗机构、从业者和患者都受益。

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