医患纠纷3年赔付逾2000万元 Doctor-patient dispute settlement 3 years more than 20 million yuan

“越买越不安”发人深省 "More buy more uneasy"thought-provoking

　　医患纠纷，一直是社会热点。武汉市政协一项抽样调查显示，3年来，该市百余家医疗机构共发生纠纷1562起，赔付金额高达2066.73万元。21日，农工党武汉市委员会向武汉市政协常委会提交报告，建议应尽快成立医患纠纷调解理赔中心，形成有效的医患纠纷第三方调处机制。

Doctor-patient dispute,Has been the social hot spot.Wuhan city political consultative conference a sampling survey,Three years,The city's over medical institutions a total of 1562 cases of dispute,The amount of compensation is as high as 20.6673 million yuan.21,NongGongDang wuhan city committee of the CPPCC to wuhan, submit a report to the standing committee,Advice should be established as soon as possible doctor-patient dispute mediation claims center,Form effective doctor-patient dispute mediation mechanism of third party.

3年赔付超2000万元 3 years settlement exceeds 20 million yuan

　　政府闹心，社会揪心，患者伤心，医生寒心。尴尬的医患纠纷屡屡发生。

The government could,Society due,Patients sad,The doctor chill.Embarrassed doctor-patient dispute occurred repeatedly.

　　一年来，农工党武汉市委抽样调查了113家医疗机构，对1897名医务人员、757名患者进行问卷调查。结果显示，3年中，113家医疗机构共发生纠纷1562起，赔付金额达2066.73万元。其中，96%的纠纷发生在二级以上医院，堵门、拉横幅等严重扰乱医院秩序的纠纷达139起。

A year,NongGongDang wuhan municipal party committee sampling survey in 113 medical institutions,1897 medical staff/757 patients were carried on the questionnaire survey.Results show that,Three years,113 medical institutions a total of 1562 cases of dispute,The amount of compensation of 20.6673 million yuan.the,96% of the disputes occurred in the second class above hospital,Plug door/Pull banners and disrupting the order of the dispute hospital 139 up.

　　在六成医务人员看来，导致纠纷的主要原因是医患缺乏沟通，其次是患者期望值过高。医患双方易在医疗责任认定和高额医疗索赔上分歧巨大，难以达成一致，甚至发生“医闹”。

At sixty percent medical staff looks,Lead to disputes is the main reason of the lack of doctor-patient communication,Secondly it is the patient's high expectations.Doctor-patient both easy in the medical responsibility identification and high medical claim differences,Difficult to reach an agreement,Even happen"Medical trouble".

　　调查结论让人有些吃惊：尽管近90%的医院、80%的医生和近60%的患者愿意购买医疗责任保险及医疗意外保险，但99%的医院因“无责不赔”的条款，至今没参加医责险。

Research conclusion let person some surprise:Although nearly 90% of the hospital/80% of the doctors and almost 60% of the patients are willing to buy medical liability insurance and medical accident insurance,But 99% of the hospitals for"Free without responsibility"terms,Has not to participate in medical responsibility insurance.

　　出了医疗纠纷，近六成的医生和患者都首选医学鉴定，对于赔偿等问题，53%的人选择打官司，44.2%则选择第三方调解。

Out of the medical disputes,Nearly sixty percent of the doctors and patients have preferred medical appraisal,For compensation problem,53% of people choose to engage in a lawsuit,44.2% choose a third party mediation.

　　据了解，一些严重纠纷，经常是病情急重且医疗费用高，出事后，双方在责任与赔偿上一时各唱各调，患者从“闹”到“骂”，最后成“打”；医院只得花钱买平安，但“越买越不安”。近3年来，有91名医务人员因纠纷受伤，40人住院。一些大医院甚至被迫雇佣上百人的保安队伍，靠“打架”解决问题。

It is understood,Some serious disputes,Often the illness urgent heavy and high cost of medical treatment,After the,Both sides in the liability and compensation for the adjustment on the singing,Sufferers from"make"to"scold",Finally into"play";The hospital had to buy peace,but"More buy more uneasy".Nearly 3 years,There are 91 medical personnel disputes because of injury,40 people in hospital.Some big hospitals and even forced to employ hundreds of people's security team,by"fight"Solve the problem.

调处不等于“和稀泥” Mediation is not equal to the"Try to smooth things over"

　　常常有人说，应该理性处理医疗纠纷。事实上，医疗事故鉴定经常缺乏认同度，而上法庭也让人无可奈何。

Usually someone said,Should be rational dealing with medical disputes.In fact,Medical accident appraisal often lack identities,And the court also let a person have no alternative.

　　农工党武汉市委在调查中发现，一家区级法院近6年来受理54起医疗纠纷案件，平均审限达529天，个别案件长达6年。打医疗官司，让医患双方及法院都叫苦不迭。

NongGongDang wuhan municipal party committee in the survey found,A district court in recent 6 years accepts the 54 cases of medical disputes,The completion time average 529 days,Individual case for six years.Play medical lawsuit,Let the doctor-patient both sides and court all complain incessantly.

　　为此，去年武汉各区相继成立医患纠纷人民调解委员会，即医调会。数据显示，医调会调解成功率达87.2%，但因省市均没有医调会，区级医调会30%以上的患者不了解医调会，22.9%的医疗机构也认为医调会有“和稀泥”之嫌。

therefore,Last year the wuhan district established doctor-patient dispute people's mediation committee,Namely medical adjustment will.Data display,Medical adjustment will mediation success rate was 87.2%,But because of the provinces and cities are no medical adjustment will be,The district medical adjustment will be more than 30% of the patients do not understand medical adjustment will be,22.9% of the medical institutions also think medical tone will have"Try to smooth things over"too.

　　究其缘由，医调会“调”而无法“赔”，赔付的主动权在医院，医院对其调解结果可采纳也可不采纳；区级医调会级别低，该市也并未硬性规定医患双方必须进入医调会调解；专业人才的缺乏，也导致医调会的公信力和权威不足。

Investigate its reason,Medical adjustment will"adjustable"to"compensate",Settlement of the initiative in the hospital,The hospital on the result of the conciliation can adopt also don't adopt;The district medical attune can low level,The city has also not hard and fast rules doctor-patient both parties must enter the medical adjustment will mediation;The lack of professional talents,Also lead to medical adjustment will credibility and lack of authority.

　　对此，农工党武汉市委建言，颁发“武汉市医患纠纷与处置”政府令，对医患纠纷处置原则、设立医调会等作出明确规定，形成患者满意、医院认可、政府放心的处置“链”，将医调会与保险经纪公司相结合，由保险经纪公司运作，成立医患纠纷调解理赔中心。该理赔中心主要负责风险防范、纠纷调解和赔偿处理，其运行经费从医疗机构参保基金中支付，以解决医调会“调”而不“赔”的尴尬。

this,NongGongDang wuhan municipal party committee ",issued"Wuhan doctor-patient dispute and disposal"temporary,The doctor-patient dispute disposal principle/Set up medical adjustment will make a specific provision,Formation were pleased with the/Hospital recognition/The government trust of disposal"chain",Will the medical adjustment and insurance brokerage company combined,The insurance brokerage company operation,Established the doctor-patient dispute mediation claims center.The settling center mainly responsible for risk prevention/Dispute mediation and compensation for processing,Its operation funds from medical institutions pay in fund ginseng,In order to solve medical adjustment will be"adjustable"And not"compensate"awkward.

　　另外，必须从源头与机制上预防医患纠纷。一是医患沟通制度，二是纠纷追责制度，追责因管理混乱导致恶性纠纷的医院及个人，并与个人职称评定挂钩，三是纠纷反馈制度，定期分析，通报情况，举一反三。(湖北日报讯 记者 胡弦 通讯员 阮鹏)

In addition,Must from the source and mechanism to prevent medical disputes.One is the doctor-patient communication system,The second is dispute after responsibility system,After responsibility for management confusion leads to malignant dispute hospital and personal,And with individual title assess hook,The third is dispute feedback system,Regular analysis,Report status,extrapolate.(Hubei daily reporter hu string RuanPeng correspondent)