《广东省医疗纠纷预防与处理办法》第三次公开征求意见 [Guangdong province medical dispute prevention and treatment measures]The third public to solicit their opinions

“医闹”歧视性称呼被删除 "Medical trouble"Discriminatory call be deleted

　　昨天，备受关注的《广东省医疗纠纷预防与处理办法(第三次征求意见稿)》(下称《意见稿》)第三次挂上省政府法制办官网公开征求公众意见，期限至本月30日。《意见稿》提出，万元以下医疗纠纷患者可以自行解决，经司法确认后，人民法院可强制执行“调解协议书”内容。为了更好地缓解日益紧张的医患矛盾，《意见稿》改用更规范的条例语言，甚至去除了“医闹”这一歧视性称呼。

yesterday,Of concern[Guangdong province medical dispute prevention and treatment measures(The third draft)](said[Opinion draft])The third hang the provincial government affairs website public to solicit public opinion,Deadline to 30 days this month.[Opinion draft]Put forward,Ten thousand yuan of the following medical dispute patients can solve itself,After the judicial confirmation,The people's court for compulsory execution"Mediation agreement"content.In order to alleviate the growing tension doctor-patient contradiction,[Opinion draft]Switching to a more standard regulations language,In addition to the even"Medical trouble"The discriminatory call.

万元以下可协商解决 Ten thousand yuan of the following can be settled through friendly negotiation

　　《意见稿》提出，医疗纠纷赔付金额1万元以下的，自行协商解决；赔付金额1万元以上的，公立医疗机构不得与患者或者其近亲属自行协商处理。据了解，广东各级公立医院2010年报告医疗纠纷2.5万到3万件，其中超90%的医疗纠纷是通过医患自行协商“私了”。然而，这种私了方式普遍得不到认可，患者多持不信任态度，认为是“医医相护”。很明显，意见稿的此项规定将医疗纠纷赔偿引向法制化轨道。

[Opinion draft]Put forward,The medical dispute settlement amount of 10000 yuan of the following,To settle through consultation;The amount of compensation of 10000 yuan of above,The public medical institutions must not and patients or their close relatives to negotiate processing.It is understood,Guangdong at all levels of public hospital 2010 report of medical disputes in the 25000 to 30000 pieces,The ultra 90% of the medical disputes is through the doctor-patient consultation on its own"Out of court".however,The way out of court generally not recognized,Patient shaky,Think is"Medical medical phase protection".obviously,The draft of the regulations will medical disputes compensation to legalization orbit.

　　除了以往常用的患者与医院自行协商、行政调解和司法诉讼途径外，《意见稿》还提供了另一解决渠道———医调委调解，并规定“地级以上市人民政府司法行政部门应当指导当地设立医调委，县(含县级市)、市辖区人民政府司法行政部门应当指导当地根据实际需要设立医调委，负责本行政区域内医疗纠纷的人民调解工作”。

In addition to the commonly used before patients and hospital to negotiate/Administrative mediation and judicial action way outside,[Opinion draft]Also provides another solve channel -- medical adjustable mediation committee,And provisions"Ground level to the people's government listed the judicial administrative department shall guide set up the medical adjustable committee,county(Including county-level cities of)/Municipal district people's government shall guide the local administrative departments of justice according to actual need to set up a medical adjustable committee,Be responsible for the administrative areas of the medical disputes the work of people's mediation".

　　记者了解到，目前，佛山、珠海、潮州等地已经成立市级医调委，其中佛山、珠海是由政府出资购买服务。省医调委也已于去年6月成立，并在广州市设有工作站。

The reporter understands,At present,foshan/zhuhai/Chaozhou, municipal committee has been set up medical adjustment,The foshan/Zhuhai was is funded by the government to buy service.Provincial medical adjustable committee has also was established in June last year,And in guangzhou has workstation.

患者可复印病历资料 Patients medical records could be copied

　　《意见稿》此次修改还对病历资料书写保管作了严格规定：医疗机构应当按照国务院卫生行政部门规定的要求，书写并妥善保管病历资料。因抢救急危患者未能及时书写病历的，有关医务人员应当在抢救结束后6小时内据实补记，并加以注明。不得丢失、隐匿、伪造或者销毁医学文书及有关资料。

[Opinion draft]The modification of medical records kept writing the strict rules:A medical institution shall, in accordance with the provisions of the administrative department of public health under the state council requirements,Writing and safekeeping medical records.For patients with critical rescue timely writing of medical records,The medical staff should be after the rescue six hours BuJi truthful,And to indicate the.Shall not be lost/hidden/Forge or destroy medical documents and relevant materials.

　　患者及其近亲属或者其委托人有权复印或者复制门(急)诊病历、入院记录、体温单等病历资料。复印或者复制时应当有患者及其近亲属或者其委托人在场。

Patients and their close relatives or its the trustor has the right to copy or copy the door(urgent)Saying calendar/Admission record/Temperature single medical records, etc.Copy or reproduction should have patients and their close relatives or its principal is present.

　　此外，发生医疗纠纷时，死亡病例讨论记录、疑难病例讨论记录、上级医师查房记录、会诊意见、病程记录应当在医患双方在场的情况下封存和启封。封存的病历资料可以是复印件，由医疗机构保管。

In addition,Occur when medical disputes,Death cases discussion records/The discussion of difficult case records/Superior doctors ward inspection records/Consultation opinion/Course record shall, in the presence of doctor-patient both sides sealed and unsealed.Mothball medical records can be copy,The medical institution custody.

调解协议可强制执行 The conciliation agreement can be enforced

　　前两版征求意见稿吸收了各方意见，设立“医调委”。在新版《意见稿》中，医调委的全面调节作用得到进一步强化。新版《办法》规定：“在医疗纠纷发生时，医调委也可以主动调解。但当事人一方明确拒绝调解的，则不得调解。”而旧版《意见稿》只规定了医患双方可以申请医调委调解。这一改动，让医调委在医疗纠纷发生时能更主动地参与医疗纠纷调解，促使医疗纠纷更快解决。

The first two edition draft absorption of various opinions,Set up"Medical adjustable committee".In the new[Opinion draft]in,The comprehensive medical adjustable adjust action to further strengthen.new[way]provisions:"In the medical dispute occurs,Medical adjustable committee can also active mediation.But if a party refuses to clear the mediation,Mediation is not."And the old[Opinion draft]Only stipulate the doctor-patient both sides can apply for medical adjustable committee mediation.The changes,Let the medical adjustment in medical dispute occurs can be more actively involved in medical dispute mediation,To solve medical disputes faster.

　　《意见稿》还明确规定：“双方当事人同意对人民调解协议书进行司法确认的，医调委应协助当事人进行司法确认。经过司法确认有效的调解协议，一方当事人拒绝履行或者未全部履行的，对方当事人可以向人民法院申请强制执行。”这使调解协议更具法律效力，使纠纷中受损失一方的合法权益得到更好法律的保障。

[Opinion draft]specifying:"Both parties agree with the people's mediation agreement judicial confirmation,Medical adjustable committee shall assist the parties concerned, engage in the judicial confirmation.After the judicial confirmation of the mediation agreement,One of the parties refuses to perform or not to perform all the,The other party may apply to a people's court for compulsory execution."This makes the conciliation agreement more legal effect,Make the dispute lose one party's legitimate rights and interests better legal protection.

针对患方措辞更规范 According to a party the phrase more standardized

　　除了对医疗纠纷预防和解决机制的条例的改进以外，《意见稿》在医疗救助工作接受社会捐助方面的条例也做了完善。其规定，医疗机构或者医调委接受捐助后，应当每半年一次向社会公布接受社会捐助、资助情况，接受社会监督。

In addition to the medical dispute prevention and solve the mechanism of the improvement of regulations outside,[Opinion draft]In the medical rescue work accept social donation of regulations also did improve.The provisions,Medical institutions or medical adjustable committee accepted after donation,Should semi-annually publish to the society accept social donation/funding,Accept social supervision.

　　而在患方违规违法行为的列举中，记者在《意见稿》的最后注意到了一个较为特别的改动。旧版《意见稿》此条例中将患方的违规违法行为统称“医闹的法律责任”，而新版中则去除了“医闹”一词，改为“违反本办法第二十二条规定”。这或许是考虑到“医闹”一词略显偏颇，《意见稿》颁布本身就是为了更好地缓解日益紧张的医患矛盾，因而改用更规范的条例语言。(记者许琛 马海洋 实习生黄子翘)

And in a party irregularities in the list,Reporter in the[Opinion draft]The last note to a relatively special changes.old[Opinion draft]This regulation will suffer from party irregularities referred to"The legal liability of the medical trouble",And in the new edition is removed"Medical trouble"A word,instead"Violates these measures of the provisions of article 22".This may be considered"Medical trouble"A word is shown slightly biased,[Opinion draft]Promulgated itself is in order to alleviate the growing tension doctor-patient contradiction,Thus switching to a more standard regulations language.(Reporter XuChen MaHaiYang interns HuangZi become warped)