Push away in Nanjing " Medicine is strong and dangerous " Manage doctors and patients' dispute The biggest one compensates 200,000
" some disputes of public hospital are compensated " Bale " Give to the insurance company " ---Jiangsu Province Nanjing Municipal Health Bureau announces recently, the city owned public hospital of the whole city will participate in and force medical responsibility to be dangerous, the whole city popularize the intersection of doctors and patients and the intersection of dispute and people's mediation committee at the same time, by " the third party " Mediate, and then by " the third party " The insurance company settles a claim.The ones that show a tendency to rise in doctors and patients' dispute year by year cause the social concern in this measure of Nanjing instantly.
The reporter interviews to find, as early as one and a half years ago, Nanjing began to explore " people's mediating, insurance settles a claim and solves doctors and patients' dispute " Way. By the look of pilot situation, after introducing this mechanism, the violence case of the hospital has been reduced by about 50%, the case has been reduced by 80%. The relevant court verifies too, this kind of case which they accepted dropped by half too in the same term.Certainly, this responsibility dangerous Wan uses panacea: First of all, the insurance company is not the charity organization guaranteeing hospital; Secondly, though the public hospital of the whole city will participate in the insurance by force, it is still relatively complicated to hit the situation inside.Jiangsu Province Nanjing Municipal Health Bureau announced a decision recently: The city owned public hospital of the whole city will participate in and force medical responsibility to be dangerous, doctors and patients' dispute will recur in the future, the insurance company will settle a claim. Determine a announcement, cause the social extensive concern immediately.In fact, this unprecedented pressure is dangerous, there is a prerequisite - --Set up doctors and patients' dispute people's mediation committee in the whole city in an all-round way, implement doctors and patients' dispute " the third party " Mediation. And force the city owned public hospital to participate in and force medical responsibility to be dangerous, help to offer the guarantee of claims settlement for the fact that this is mediated.The intersection of pilot project and half in recent years, hospital the intersection of violence and case reduce about 50%, court accept the intersection of doctors and patients and dispute case lower half evenLast March, Nanjing began the pilot project that the doctors and patients dispute people mediated in the drum-tower, the Qin 's. 3 counties pass the exploration of last one and a half years, go out of the new way which solve doctors and patients' dispute of settling a claim of a people's mediating, insurance progressively:The relevant county sets up special doctors and patients' dispute to transfer the committee to know, according to the application of doctors and patients both parties, or get involved voluntarily,if you can't mediate, deal with this all kinds of doctors and patients disputes at area under one's jurisdiction (demur party unless) . In the mediation, it is will be responsible for organizing the hospital to have consultations with patient transferring the committee, confirm whether the dispute is malpractice, medical fault, medical fault or medical accident finally, and consult on the concrete amount of compensation. After doctors and patients both sides reach and compensate for the agreement, will organize signing to the people and mediating the agreement to transfer the committee. Then, according to conciliation statements of people, are settled a claim by insurance company."Analyse on situation of launching a pilot project at present, this kind of handling makes doctors and patients both sides very satisfied, have obtained win-win. " Nanjing municipal the intersection of silk floss and fine jade Sun, chief of bureau of justice, introduce, as to hospital, " it is single to bury " in surprise for malpractice and medical treatment in the insurance company ,Dissolve the risks of hospital and medical worker operation to a certain extent, have avoided because a doctor is afraid of undertaking the risk, implement " guarding medical treatment " excessively Situation,Yes, not enormous last qualities medical; In addition, the greatest advantage of this mechanism is, can reduce " disputes over trifles " existing when compensated for in doctors and patients' dispute The phenomenon, guarantee a patient gets and compensates the fund within shortest time.The statistical data have supported this statement of his: By July of this year, the dispute of doctors and patients of these 3 counties will accept 285 doctors and patients' disputes to transfer the committee together, has mediated, succeeded in 261, it reaches 92% to mediate success rate. Mediate successful 24 dispute enter appraise and judicial process too, take place " medicine make " Incident. And province the People's Hospital statistics show, after introducing doctors and patients' dispute to mediate, the violence case of the hospital has been reduced by about 50%, the case of the hospital has been reduced by 80%. The relevant court verifies too, this kind of case which they accepted dropped by half too in the same term.For this reason, Nanjing determines to popularize the method that the doctors and patients dispute people mediate in the whole city, and stipulate every county must set up doctors and patients' dispute and transfer the committee to know, it's time to transfer the committee to know to members and is formed by 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, hospital, law,etc. professional personage. Set up more than two full-time mediators according to the need, is responsible for mediating the dispute and handles and transfer the committee to know the routine affair. Doctors and patients dispute also can can transfer committee from county and street transfer committee can select outstanding mediators of people, engage as the part-time mediator.Produce already big one yuan of compensations take place in the commune hospital of the street most; In order to improve the ability to defend the medical risk together, Nanjing requires the public hospital to effect an insurance by forceAt it's interesting, the dispute people of doctors and patients of popularization that the market hold on August 27 mediate the working conference in Nanjinging, pursue the medical liability insurance but has played protagonist.The reporter knows at the meeting, what is 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. According to the bright statement of chief of Nanjing Municipal Health Bureau Chen Tian, " this is that a kind of pressure is dangerous, must participate in " .Chief of Qin the Huaihe River district bureau of justice Dai QiaoMu tells reporters, this insurance has played an important role in their pilot project, can be said to be now " The third party gets involved in doctors and patients' dispute " One piece component,last doctors and patients dispute people guarantee mediating each that is can successful of. Because " for patient, each hospital has this insurance, will have a piece of bottom in the heart, there are places that have paid the bill at least " ,Will certainly improve the success rate mediated. And to the hospital, obviously contribute to improving the ability of the medical risk of the defence. In already adjusting the dispute of the knot in Qin the Huaihe River district, supreme compensation reaches 200,000 yuan.According to the introduction of relevant person of health bureau, the medical liability insurance of Nanjing area includes the mainly dangerous and accessory risk. Mainly dangerous in order to protect the project, includes and cause economic compensation liability insurance and place liability insurance of the medical organization that should be undertaken by the assured by the fact that the malpractice, medical mistake and medical treatment happen in surprise; The accessory risk includes the medical worker has liability insurance and legal infectious disease liability insurance injured. According to the regulation, the public hospital pays the premium to the insurance company every year, once the medical dispute appears, need what the hospital compensate, will be settled a claim by the insurance company.But the insurance company is not the charity organization guaranteeing hospital. By the look of pilot situation, large hospitals have generally welcomed. 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 is over 700,000 yuan, " dissolve the medical risk to a certain extent " . And the small hospital because the risk undertaken is less, the present income under coverage can not still find out. Participate in without more hospital, as bear the intersection of claims settlement and insurance company of responsibility, can not bear, settle a claim over premium loss for a long time certainly. In order to improve the ability to defend the medical risk together, Nanjing forces the public hospital to all effect an insurance. Who can guarantee the medical dispute of the great claims settlement problem will not take place in oneself after all? In fact, big one yuan of compensations most that produce already, take place in the commune hospital of the street. Without the insurance, the street commune hospital in charge can not afford.Certainly, let the hospitals at all levels have enthusiasm of effecting an insurance, there is a corresponding policy too. The reporter saw such a rule when " pursues the medical liability insurance and popularizes the opinion that the mediation effort of the dispute people of doctors and patients constructs the harmonious relationship between doctors and patients " in what Nanjing issues recently Fix: The funds that the hospital buys the insurance are charged to the cost of medical organization, 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. The opinion still stipulates, the insurance company will adjust the insurance premium rate according to the comprehensive situation of compensating actually etc. of previous year from the second year. That is to say who let whom insurance company compensate many, want premium that pay more more too second year.The statistics show, it is caused that more than 90% of the doctors and patients' dispute communicates improperly. So, the scheme getting a permanent cure explores the strick precaution mechanism that sets up doctors and patients' disputeBut this responsibility dangerous Wan uses panacea.Liu Jun tells reporters, introduce the third party to mediate, it is obvious to the advantage which relieves contradictions of doctors and patients. He has cited an example happening recently for the reporter: An 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 has been rescued actively, the doctor who has also transferred pediatrics and cardiovascular dept.(internal medicine) participates in, but still fail to retrieve the infant's life. Relatives can't accept, bring to several burly chaps and go to the hospital to demand the statement to this. Though the hospital explains to relative repeatedly, the patient family members do not accept appraise the malpractice the hospital explain as well as. The conflict may be triggered at any moment soon, mediator will come to Qin the Huaihe River people's mediation committee in the district. The third party's statement is obviously apt to be accepted by relatives. After the mediator analyzes the case from the double angle of medical law, infant relatives' mood has been relaxed, both sides have reached conciliation finally.The dispute has been relieved, but too great influence of incidence on doctors and patients' dispute. Liu Jun says frankly, the patient is after medical accident appeared now, that think of is to " make a noise " at first . And once the dispute takes place, should involve a large number of energy (manpower will be limited that doctors and patients' dispute will transfer the committee of the hospital, often only adjust the difficult dispute of place, the general dispute must be dealt with by oneself by hospital) .Vice Mayor Xu ZhongZi of Nanjing who is in charge of the hygiene popularizes the doctors and patients dispute people mediate and pursue the positive supporter with dangerous medical responsibility. He thinks too, because the reason for forming doctors and patients' dispute is very complicated, the people mediate and medical responsibility is dangerous can not avoid the production of doctors and patients' dispute fundamentally. He introduce, cure SCTE, count, show according to China, 90% more than the intersection of doctors and patients and dispute communicate not improper to cause actually. He thinks, while pursuing the medical liability insurance, setting up, the doctors and patients dispute people mediated the mechanism, the more important one is to strengthen the source management of unit service quality of medical treatment, explore the strick precaution mechanism that sets up doctors and patients' dispute.
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