Nanjing stipulates it is dangerous that the public hospital must buy medical responsibility

Nanjing stipulates it is dangerous that the public hospital must buy medical responsibility
Since last January, Nanjing has taken the lead in mediating in drum block, Qin the Huaihe River district and medical liability insurance and the doctors and patients dispute people of the pilot project of the county of Gaochun. This kind of hospital buys the medical liability insurance, " bale " the compensation of doctors and patients' dispute Give to the insurance company, after the third party mediates and organizes mediating or judicial judgement, the patient will obtain compensation way from the insurance company, make certain effect. Yesterday, Nanjing determined to generalize to the experience the whole city, above- second -class medical organizations and community health Centers in the area pursued the medical liability insurance in Nanjing, popularize the doctors and patients dispute people in an all-round way to mediate the work in 13 counties of the whole city.
The public hospital all effect an insurance by force
"This is that a kind of pressure is dangerous, must participate in. " Chief of Nanjing Municipal Health Bureau Chen TianMing introduces, the so-called medical responsibility is dangerous, say popularly it is the hospital that buys an insurance safely for one's own medical treatment, while needing compensating the medical dispute, the insurance company takes charge of settling a claim to the patient. Will the cost that the hospital buys insurance be shifted to a patient? Old with this the chief guarantees, the hospital buys the funds of the insurance, charge to the cost of medical organization according to the regulation daybreak, prop up from the rank center of the business income, must not participate in medical responsibility dangerously and improving the expenses standard and increasing the patient to bear.
And to all compensating by the insurance company after the emergence malpractice which the patient worries about, the hospital will neglect the improvement of one's own service level, thus initiate more medical mistakes? As to this, the opinion issued newly specially emphasizes, the insurance company adjusted the insurance premium rate according to the comprehensive situation of compensating actually etc. of previous year from second year. That is to say, if a hospital let the insurance company compensate in the first year many, then there will be much premium that it will pay possibly in the second year.
For participating in the medical insurance, large hospitals generally welcome, " this dissolves the medical risk to a certain extent " ,Nanjing the intersection of city and first Jun Liu, Vice President of hospital, tell reporter whether institute this one year amount of money to drop into insurance 700,000 last year, from present's view, the amount of compensation exceeds 700,000. And the reporter knows, the risk that some small hospitals undertake is less, the present income under coverage can not still find out.
Doctors and patients' dispute looks for the third party to mediate first
At the same time, according to establishing " safe hospital " Arrangement,Nanjing determine to pursue on the basis of pilot project on doctors and patients dispute people's mediation committee. As to " doctors and patients' dispute people's mediation committee " ,A lot of citizens are still very strange. Unless it is popular say, unless in the future, if doctors and patients dispute taken place,citizen except that medical verification, go to court to one of routes: Let the doctors and patients dispute people mediate the organization.
Doctors and patients mediate in dispute the member is generally made up of respects such as leaders with specific duties of department such as the administration of justice, hygiene,etc. and deputy to the National People's Congress, member of the CPPCC National Committee, medical science, law,etc. professional personage, and the team of mediator setting up specially, holding a part-time job and combining together. People's mediation committee one organization of neutrality, he independent of hospital and suffer from side, it is a third party's organization, its public trust is easier to approve by doctors and patients of both sides.
Solve doctors and patients' dispute artificially, the country has set up the qualification that medical association has been responsible for the malpractice before this, but because it is a medical system, considered to be the thing " the son appraises for me " ,Objective fairness suspect, take place doctors and patients apply, go appraise actually few voluntarily behind the dispute. Now, once the medical dispute takes place, the people's mediation committee that patients can reach the site of medical organization " places on file" ,Under its care to investigate and collect evidence, consult etc. to the hospital, the result that the people's mediation committee mediates has legal effect. If people mediate, organize mediate, medicine suffer from one party approve mediation result of third party, the judicial process of and then walking solves.
The lawsuit dropped by 50% in year of pilot project one
It is the a bit more most light in the medical responsibility pursued newly as Nanjing is dangerous, after the newly formed doctors and patients' dispute is mediated for one year in pilot project, have made certain result. Deputy Bureau Director of drum block bureau of justice Yao QiMing introduces, since April of 2008, the judicial department of drum block has accepted 177 doctors and patients' disputes together, mediate 163 successfully, it is up to 92% to mediate success rate. Court of drum block statistics show, in 2008 and 2009, the average doctors and patients' dispute acceptance rate of moon will drop by 27%, health lawyer's office of the professional case of the dispute of doctors and patients, only agent of the whole city, agency's book of dispute cases of doctors and patients in more than one year has dropped by 50%; The People's Hospital of Jiangsu Province statistics show, popularize the medical insurance, after there are doctors and patients' disputes to mediate and organize, the violence case of the hospital has been reduced by about 50%, the case of the hospital has been reduced by 80%.
Vice President of Nanjing first hospital Liu Jun says, because of authoritativeness and public trust that the people's mediation committee have, his judging the easier patient to accept to doctors and patients' responsibility and right and wrong. "We can say, after introducing the third party to mediate, the fierce intensity that ' medicine makes a noise ' is much less. " Liu Jun has given an example, an example infant has illness coming on before dawn, send to the emergency call centre of the hospital. The infant does not have a life sign when being admitted to hospital, the emergency call of the hospital is rescued actively, the doctor who still transfers pediatrics and cardiovascular dept.(internal medicine) participates in, but still fail to retrieve the infant's life. Relatives have taken several burly chaps to go to the hospital to demand the statement, it is said that can be mediated, originally disapproving too, the ones that think and is mediated are certainly all " ones of own side " of the hospital . After the mediator of people's mediation committee of Qin the Huaihe River district showed up, have analyzed the case from the double angle of medical law, stand in the position of the third party explaining infant relatives, has reached the conciliation of both sides finally.
Most disputes must be solved by the hospital
Why the third party with such neutrality mediate, patient will also be through " make a noise " Solve doctors and patients' dispute? The reporter knows, relate to the fact that patient's trust intensity to the hospital is reduced, doctors and patients communicate improperly to a great extent.
Vice President of Nanjing first hospital Liu Jun says frankly, in fact introduces the third party to mediate, make " medicine make a noise " Fierce for intensity for decline,for doctors and patients more largely to influence incidence of dispute, the patient is after the medical accident appeared, that think of is to " make a noise " at first . So the hospital is still one of the subjects of dealing with doctors and patients' dispute all the time. In the dispute of doctors and patients taking place in the hospital of this year, 60% will be dealt with by hospital, 40% are transferred to the people's mediation committee to assist to deal with. In addition, because the quantity of the mediator of people's mediation committee is very limited, coming to hospital each time has two or three mediators only. And the hospital solves a dispute on average, should receive patient and relative 14 to 15 times, so a large amount of previous work wants the hospital to do by oneself.
To popularizing medical responsibility dangerously, Vice Mayor Xu ZhongZi of Nanjing who is in charge of the hygiene holds a definite attitude,
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