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目的:通过对1,668家中医医院医疗纠纷现状进行分析,探讨分级诊疗实行过程当中,中医医院面临的困境与存在的问题并提出建设性方案,规避基层医疗卫生机构的医疗风险。方法:通过查阅文献并运用统计学方法,对1,668家中医医院2009年至2013年的医疗纠纷及医护比情况进行回顾性分析。结果:2009至2013年,政府办三类中医医院的每百名执业医师医疗纠纷发生率从2009年的5.00例上升至2013年的6.30例,医护比从2009年的1∶0.84上升至2013年的1∶1.12。结论:分级诊疗中提高医务人员的诊疗水平是关键,强化住院医师培训,树立患者正确的维权意识,防范医疗纠纷,有效落实国家提出的“保基本、强基层、建机制”要求。
OBJECTIVE: To analyze the status quo of medical disputes in 1,668 Chinese medicine hospitals and to explore the difficulties and problems existing in the practice of classification and treatment of hospitals, and to put forward constructive proposals to avoid the medical risks of primary health care institutions. Methods: A retrospective analysis was conducted on the medical disputes and the medical care ratio in 1,668 Chinese medicine hospitals from 2009 to 2013 by referring to the literature and using statistical methods. Results: From 2009 to 2013, the incidence of medical malpractices per 100 practicing doctors run by the government in three types of Chinese medicine hospitals rose from 5.00 in 2009 to 6.30 in 2013, and the ratio of health care to health care rose from 1: 0.84 in 2009 to 1: 1.12. Conclusion: It is the key to improve the diagnosis and treatment of medical staffs in grading diagnosis and treatment, strengthen the training of residency, establish patients’ right awareness of rights protection, prevent medical disputes and effectively implement the requirements of “guaranteeing basic, strong grassroots and building mechanism” proposed by the state.