Survey on Patients’ Cognition of Third-party Mediation Model for Medical Disputes_West China Medical Journal

Authors：

 ZengDa ¹ , LiuKe ² , XiaYongjun ¹ , DongHewen ¹ , JinWei ¹ ,  LiuMin ¹

1. West China School of Preclinical and Forensic Medicine, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. People’s Government of Xingyi, Xinjin, Chengdu, Sichuan 611441, P. R. China;

Corresponding author：

LiuMin, Email: min8liu@hotmail.com

Keywords：

Medical disputes; Third-party mediation model; Questionnaire; Medical liability insurance; Nonlitigation

DOI：

10.7507/1002-0179.201600245

Video：

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Objective To understand patients’ cognition of third-party mediation model for medical disputes, analyze the factors influencing the trust of patients on third-party mediation, and propose recommendations for building third-party mediation mechanisms. Methods From November 2013 to April 2014, we referred past literature to design a relevant questionnaire on the cognition of third-party mediation for medical disputes. Patients who had reached the end of the treatment were surveyed by random cluster sampling. The raw data were put into the computer for statistical analysis by SPSS 18.0. Results After giving out 500 questionnaires, we acquired 486 effective questionnaires. The result showed that 61.52% of the patients knew of third-party mediation; 55.35% of the patients considered that thirdparty mediation should be set in and supervised by the court or judicial administrative department; if the mediation failed, 57.41% of the patients chose to resolve the dispute through legal channels, and 67.90% of the patients tended to confirm the force of mediation conclusion by arbitration; 70.58% of the patients considered that mediators should have professional background of medicine and law; 73.05% of the patients tended to take conclusions of forensic identification as the basis for mediation; 64.81% of the patients were biased to take Tort Liability Act as the basis for determining the compensation; 53.70% of the patients believed that financial allocations could solve the fund problems of third-party mediation, while 38.48% of the patients thought the funds should be provided by insurance companies; 91.15% of the patients thought the medical institutions should purchase medical liability insurance, and 54.32% of the patients thought insurance companies should not intervene the process of meditation. Conclusions Government should provide financial allocations to ensure the funds of third-party mediation. Besides, medical insurance should be brought in as a supplement. Medical institutions should purchase medical liability insurance to solve problems caused by medical disputes. Third-party mediation should be set in and supervised by the court or the judicial administrative department. Mediators should have professional background of medicine and law. Conclusions of forensic identification should be the basis for third-party mediation.

Citation： ZengDa, LiuKe, XiaYongjun, DongHewen, JinWei, LiuMin. Survey on Patients’ Cognition of Third-party Mediation Model for Medical Disputes. West China Medical Journal, 2016, 31(5): 905-912. doi: 10.7507/1002-0179.201600245 Copy

1.	梁华仁. 医疗事故的认定与法律处理[M]. 北京: 法律出版社, 1998.
2.	毕玉田, 蔺武军, 程晓斌. 医疗纠纷第三方调解机制中各因素分析 [J]. 医院院长论坛, 2011, 8(4): 55-58.
3.	陈贤新, 张泽洪. 国内外医疗纠纷第三方调解机制述评[J]. 中国医院, 2010, 14(5): 43-45.
4.	孙楠. 医疗纠纷影响因素分析与干预研究[D]. 上海: 第二军医大学, 2009.
5.	王东红, 安花花, 梁涛, 等. 某医院已处理的医疗纠纷案例分析[J]. 华西医学, 2015, 30(6): 1175-1178.
6.	夏勇军, 刘珂, 董贺文, 等. 医护群体对医疗纠纷第三方调解模式的认知调查[J]. 华西医学, 2015, 30(8): 1552-1558.
7.	张子谦, 李瑞斌. 医疗纠纷第三方调处模式论析[J]. 东南国防医药, 2013, 15(1): 78-79.
8.	王将军. 我国医疗纠纷第三方调解机制研究[D]. 北京: 北京协和医学院, 2011.
9.	刘俊宏, 魏光辉, 李旭良, 等. 医疗纠纷第三方调解机构运行模式及作用探讨[J]. 中华医学教育探索杂志, 2013, 12(1): 67-70.
10.	孙小丽, 郭秀琴, 陈文举, 等. 医生医疗法规认知及医患纠纷调查分析[J]. 医学理论与实践, 2012, 25(9): 1033-1036, 1044.
11.	刘心竹, 段红娟, 祝紫葳, 等. 医学生《侵权责任法》医疗责任相关条款的认知调查[J]. 华西医学, 2014, 29(3): 559-563.
12.	刘倩倩. 完善我国医疗纠纷解决机制的对策分析[D]. 济南: 山东师范大学, 2015.
13.	王琳莹. 医疗纠纷第三方调解机制的探讨[J]. 中国医院管理, 2011, 31(增刊): 87-88.
14.	林宏. 医疗责任险——解决医患矛盾的最佳良药[J]. 当代医学, 2004, 10(4): 54-56.
15.	姜卫东. 无法回避的问题——关于医疗责任险的几点思考[J]. 中国保险, 2011, 18(12): 3-4.
16.	张云林, 张杏玲. 北京医疗纠纷第三方调解援助及探讨[J]. 中国医院, 2009, 13(2): 1-6.

1. 梁华仁. 医疗事故的认定与法律处理[M]. 北京: 法律出版社, 1998.
2. 毕玉田, 蔺武军, 程晓斌. 医疗纠纷第三方调解机制中各因素分析 [J]. 医院院长论坛, 2011, 8(4): 55-58.
3. 陈贤新, 张泽洪. 国内外医疗纠纷第三方调解机制述评[J]. 中国医院, 2010, 14(5): 43-45.
4. 孙楠. 医疗纠纷影响因素分析与干预研究[D]. 上海: 第二军医大学, 2009.
5. 王东红, 安花花, 梁涛, 等. 某医院已处理的医疗纠纷案例分析[J]. 华西医学, 2015, 30(6): 1175-1178.
6. 夏勇军, 刘珂, 董贺文, 等. 医护群体对医疗纠纷第三方调解模式的认知调查[J]. 华西医学, 2015, 30(8): 1552-1558.
7. 张子谦, 李瑞斌. 医疗纠纷第三方调处模式论析[J]. 东南国防医药, 2013, 15(1): 78-79.
8. 王将军. 我国医疗纠纷第三方调解机制研究[D]. 北京: 北京协和医学院, 2011.
9. 刘俊宏, 魏光辉, 李旭良, 等. 医疗纠纷第三方调解机构运行模式及作用探讨[J]. 中华医学教育探索杂志, 2013, 12(1): 67-70.
10. 孙小丽, 郭秀琴, 陈文举, 等. 医生医疗法规认知及医患纠纷调查分析[J]. 医学理论与实践, 2012, 25(9): 1033-1036, 1044.
11. 刘心竹, 段红娟, 祝紫葳, 等. 医学生《侵权责任法》医疗责任相关条款的认知调查[J]. 华西医学, 2014, 29(3): 559-563.
12. 刘倩倩. 完善我国医疗纠纷解决机制的对策分析[D]. 济南: 山东师范大学, 2015.
13. 王琳莹. 医疗纠纷第三方调解机制的探讨[J]. 中国医院管理, 2011, 31(增刊): 87-88.
14. 林宏. 医疗责任险——解决医患矛盾的最佳良药[J]. 当代医学, 2004, 10(4): 54-56.
15. 姜卫东. 无法回避的问题——关于医疗责任险的几点思考[J]. 中国保险, 2011, 18(12): 3-4.
16. 张云林, 张杏玲. 北京医疗纠纷第三方调解援助及探讨[J]. 中国医院, 2009, 13(2): 1-6.

West China Medical Journal

Survey on Patients’ Cognition of Third-party Mediation Model for Medical Disputes

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