医患纠纷人民调解委员会成立1年，平均调解天数仅10天，调解成功数升至上年同期的近3倍。今天，记者从浦东新区医患纠纷人民调解工作办公室(以下简称“新区医调办”)获悉，本市首份医患纠纷人民调解白皮书正式在浦东新区出炉，白皮书用数字说明了人民调解在医患纠纷中发挥的“威力”，也对医患纠纷发生的原因和特点做了具体分析。统计数字显示，医患纠纷中无理取闹的患者仅占2.2%。

Doctor-patient dispute people's mediation committee set up 1 year，Average mediation days just 10 days，Mediation success to the same period last year the number of nearly three times。today，Reporters from the pudong new area doctor-patient dispute the work of people's mediation office(Hereinafter referred to as“Medical adjustable do new”)Learned that，This city first doctor-patient dispute people's mediation white paper in a formal pudong new area，The white paper with figures show the people's mediation in doctor-patient dispute of the play“power”，Medical disputes to the causes and characteristics made a concrete analysis。Statistics show that，Doctor-patient dispute of vexatious patients accounted for only 2.2%。

“威力”初现 “power”early

　　平均调解天数只需10天 Average mediation days just 10 days

　　去年8月，本市全面推进医患纠纷人民调解工作，浦东新区则在8月23日成立了新区医调办，全面启动医调工作。

Last August，This city comprehensively promote the doctor-patient dispute the work of people's mediation，Pudong new area is on August 23,, established the new medical adjustable do，Comprehensive start medical adjustable work。

　　据统计，去年8月以来，浦东新区医患纠纷人民调解数量大幅度上升，调解成功率显著提高，达成协议金额成倍增长。在此期间，调解成功405起，是上年同期的近3倍；达成协议金额1667.02万元，是上年同期的近2倍。

According to the statistics，Since August last year，Pudong new area doctor-patient dispute people's mediation quantity substantially increased，Intercessory success rate increased significantly，To reach an agreement amount multiplied。During this period，Mediation success since 405，Is of the same period last year nearly three times；To reach an agreement amount is 16.6702 million yuan，The same period last year is nearly two times。

　　通过一年实践，医患纠纷调解的“威力”已经初现，不少市民已经形成了“有医患纠纷找人民调解”的观念。新区医调办负责人介绍，医患纠纷调解与诉讼相比优势明显，法院医疗纠纷案平均审理天数近200天，医调委调解平均只需10天，有的纠纷在几个小时内就达成了协议。由于医患纠纷人民调解是完全免费的，疑难复杂案件也由政府出资邀请专家召开专家咨询会评估对错，极大降低了医患双方的维权成本。医患纠纷人民调解协议书是双方自愿签订的，因此双方都能自觉履行协议内容，目前没有出现一例反悔案件。

Through one year practice，The doctor-patient dispute mediation“power”Has early，Many people have formed“Doctor-patient dispute has to find people's mediation”concept。The new medical adjustable do chief introduction，Doctor-patient dispute mediation obvious advantages compared with lawsuit，Court medical dispute average trial days nearly 200 days，Medical adjustable committee mediation average just 10 days，Some disputes in a few hours reached an agreement。Doctor-patient dispute because of people's mediation is completely free，Difficult complex case also is funded by the government invited experts convened expert consulting evaluation right and wrong，Greatly reduced the cost of medical rights。Doctor-patient dispute people's mediation agreement is signed by the voluntary，So both sides can consciously perform the agreement content，Yet a cop out on the case。

纠纷原因 Dispute reason

　　医疗合同监管缺失占四成 Medical contract supervision missing accounted for forty percent

　　这份医患调解白皮书通过案例分析了医患纠纷的具体原因，其中主要包括：

This white paper doctor-patient mediation through case analysis the doctor-patient dispute of the specific reason，include：

　　-医疗合同实施过程监管缺失，占41.5%。如对高难度手术的操作风险预计不足，对患者疾病的错误诊断，或对病人没有全面检查造成误诊等。

- medical contract implementation supervision missing，Accounted for 41.5%。As to the difficult surgery operation risk expected shortage，For patients with the disease error diagnosis，Or the patients are not comprehensive check frequently misdiagnosed, etc。

　　-医疗机构提供服务不规范，占27.9%。如病史书写不规范，术前告知不充分，导致患者在手术失败后难以承受等。还有医生无资质、医疗器械有瑕疵等原因引起的纠纷。

- medical institutions to provide service is not standard，Accounted for 27.9%。Such as medical history writing is not standard，Preoperative told not fully，Lead to failure in patients after surgery is difficult to bear, etc。And the doctor without qualification、Medical equipment has defects and causes of dispute。

　　-医疗机构主观过失，占14%。如医生过于自信，在术前检查不全面的前提下贸然手术，导致术后并发症或延误治疗时机；个别医生缺乏主动性和责任心，尤其是遇到节假日期间，没有和值班医生有效交接，跟踪治疗，造成疾病治疗不及时或恶化。

- a medical institution subjective fault，14%。If the doctor too confident，In the preoperative examination under the premise of not comprehensive rashly surgery，Lead to the postoperative complications or delaying the treatment opportunity；Individual doctors lack of initiative and sense of responsibility，Especially in holidays，No and the doctor on duty effective handover，Tracking treatment，Not to cause disease treatment or deterioration。

　　-患者对病情认识不足，占10.9%。

- patients condition for lack of understanding，Accounted for 10.9%。

　　-患者无理取闹的情况，仅占2.2%。

- patients of vexatious situation，Only 2.2%。

　纠纷特点 Dispute characteristics

　　二三级医院纠纷较多 The second tertiary hospital more disputes

　　此外，白皮书还分析了浦东新区医患纠纷的主要特点：

In addition，The white paper also analyzed the pudong new area of the main characteristics of medical disputes：

　　-医患纠纷分布较为集中，二三级医院纠纷较多统计数据表明，405起调解成功并签订人民调解协议书的纠纷共涉及医疗机构57家，其中三级医院148起，二级医院157起，一级卫生院28起，民营医院72起。

- the doctor-patient dispute distribution are concentrated，The second tertiary hospital statistics show that more disputes，405 cases of mediation success and sign people's mediation agreement disputes involving medical institutions a total of 57，The tertiary hospital since 148，Secondary hospital since 157，Level 1 health center and up，Civilian battalion hospital since 72。

　　-患方索赔金额与达成协议金额的差距较大在405起调解成功的医患纠纷中，平均索赔金额为16.8万元，而平均达成协议金额则为4.1万元，相差4倍有余。

- the amount of a claim to reach an agreement with the amount of large gap in 405 cases of mediation success in medical disputes，Average claim amount of $168000，To reach an agreement and the average amount is 41000 yuan，Are four times more。

白皮书建议 White paper suggest

　　如何化解医患矛盾 How to resolve the doctor-patient contradiction

　　白皮书为此建议： The white paper for this suggestion：

　　-深化医药卫生体制改革，缓解二、三级医院压力。不断深化医药卫生体制改革，进一步加大政府财政投入，将更多的财力、物力、人才和技术引向基层。

- deepening medical health system reform，Ease two、Tertiary hospital pressure。Deepening medical health system reform，Further to strengthen the government financial investment，Will be more financial resources、material、Talent and technology to base。

　　-严守规范，避免过错和减少瑕疵。

- strictly regulate，Avoid fault and reduce defects。

　　-患方计算索赔金额，依法提出合理化诉求。只有合法合理地确定索赔金额，才有助于医患纠纷及时妥善解决，让患者尽快获得抚慰，开始新的生活。 (记者 宋宁华)

- a party claim amount calculation，Put forward rational appeal in accordance with law。Only legitimate reasonably determine the amount of a claim，Doctor-patient dispute can help to solve them promptly and properly，Let patients get comfort as soon as possible，Start a new life。 (Reporter SongNingHua)