Dealing with doctors and patients' dispute can't depend on the third party completely Need to strengthen the communication fundamentally

Dealing with doctors and patients' dispute can't depend on the third party completely Need to strengthen the communication fundamentally
News reason arises
" Xu BaoBao " Incident: The third party investigates that reduces the truth of the matter
The morning of November 3 of 2009, " Xu BaoBao " 5 months old Sent to the children's hospital of Nanjing by parents. The hospital diagnoses the disease and organizes inflammation for the eye socket honeycomb tentatively. Before dawn on the 4th of late arrival that in hospital, infant's condition worsens rapidly, through dying after all rescue measures proved ineffectual.
Relative send card at network afterwards, call watch doctor play network games and negligent of, treat that night, infant's mother has also begged the situation of going down on one's knees etc..
On November 10, the children's hospital of Nanjing made a response to this, denied " a doctor plays games " " relatives go down on one's knees " for sum Wait for the fact. Investigating that is queried by oneself of the school.
On November 11, government and health bureau of Nanjing announce, establishes the third party's investigation group to carry on the investigation again to this. At noon on the 12th, the investigation group that 14 people including media's reporter, representative of netizens,etc. make up is established.
In the afternoon of November 12, the government of Nanjing holds the news briefing, Chen TianMing, chief of Municipal Health Bureau, says, according to the third party's investigation result, " the situation that the infant parents reflect is basically true " . Investigate all parties of institute of traditional Chinese medicine have dealt with the incident.
Solve doctors and patients' dispute fundamentally, will depend on the improvement of the system and doctors and patients' joint efforts of both sides
Carry news through to the end
When the reporter comes to Beijing hygiene law to learn to mediate the centre in medical dispute, the schedule of Zhang YunLin, general secretary of society and director of centre has changed temporarily. He is notified and presides over several medical disputes to transfer the expert in the place and discuss the hearing jointly temporarily on the same day. The reporter happens to catch up with, after acquisition was allowed, have participated in and audited.
Mediate the centre and lie in an office building not attracting attention very much of Beijing in medical dispute. But in recent years, Zhang YunLin and his job of colleague have attracted more and more sight that pay close attention to. In 2005, Beijing pursued the medical liability insurance in an all-round way, would effect an insurance in 2008 the medical organization reached more than 400, accounts for 58% that Beijing effected an insurance in 735 medical organizations, pay the premium of more than 40 million yuan.
According to " suggetion on implementing the medical liability insurance in Beijing ", the hospital pays the premium to the insurance company, after the medical dispute took place, are trusted by the insurance company to mediate the organization to deal with the medical dispute, put forward the compensation suggestion. And is responsible for exactly the medical dispute of Beijing mediating the centre of task of this mediation.
With the increase of the medical dispute, mediate the mediation centre of the organization and could really produce and mediate function as the third party, attract people's attention too.
First scene The most difficult one is that the doctors and patients communicate
In a narrow and small meeting room, clinical medicine, the intersection of hospital and management, medical fault assert more than ten people encloses the all over meeting desk with the intersection of insurance and the intersection of claims settlement and expert, senior judge, lawyer,etc., case history, survey report that doctors and patients' dispute adjusts the place case appear in front of everybody through the projector.
Zhang YunLin tells reporters, it is everybody that is asserting to medical fault of several medical disputes that analyzes analysis of cause and effect, responsibility with compensation, allow cross-examination at the meeting, can dispute on, according to the rule of majority finally, reach doctors and patients both sides to conciliate through mediating. And this is his routine.
In a case discussed jointly on the same day, according to situation of investigation, can not prove the patient's death and doctor's administration have causality. Discussing in the the course jointly, group members get out of, the patient has stocked ICU into this period of time, it is positive that the hospital rescues the measure, have not violated medical attendance and standardized the routine, but not told that rescue the risk of the measure, has infringed the patient's right to choose of agreeing in the know, should appropriate the compensation.
"From the viewpoint of patient, always think the hospital has fault, and the hospital feels wronged, need an independent third party to speak fairly. " Zhang YunLin tells reporters, it is difficult to have dealings with patient on duration and degree of heating, need the skill, " should know first what they are thinking, discuss together which are right, which are wrong, in this way he believes in you. "
A material that Zhang YunLin provided for reporter reveals, about 15000-18000 disputes of doctors and patients taking place in Beijing in 2008, because pay the total value of over 170 million yuan for compensation in doctors and patients' dispute. Annual by the end of November of 2008, will effect an insurance 1675 medical responsibility dispute cases take place altogether to the medical organization, it is not lawsuit and the non- administrative third party that mediate and deal with 1402 Damien, accounts for 83.7%.
Operation mode Supported by professional association and adjusted the place independently
"We calculate professional mediation of the mass organizations, have a little professionalism. " Zhang YunLin tells reporters, from 1998, mediate the centre and take the lead in being set about exploring the third party mediates the mode the whole country in medical dispute of Beijing. Nowadays, the third party that spread out in all parts of the country can already summarize to mediate for four kinds of modes.
It belongs to the independent legal person's unit to mediate the centre in medical dispute of Beijing taking professional association as backing, insist on adjusting the place independently, free from interruption by any organizations and individuals, bear civil liability independently. Mediate the basis that the mediation agreement that the centre presides over is settling a claim or compensation of medical organization of insurance company.
It is roughly such to mediate the course: After the dispute took place, the hospital reports a case to the insurance company first, the insurance company notifies and mediates the centre, send people to the hospital to mediate. If patients would like to mediate and fill in and apply for the manual, the centre gets involved in the medical dispute formally, investigate and collect evidence. Zhang YunLin introduces, it is a totally independent third party between hospital, insurance company and patient to mediate the centre, transfer the medical dispute to such a organization outside the courtyard from the courtyard as soon as possible, and offer an station type all-round service of whole journey.
Zhang YunLin tells reporters, compared with the situation that doctors and patients' both sides' consulting, administration's mediating, lawsuit is solved, third party's conciliation proceedings is convenient, economy and saving time, the not merely harmonious relationship between doctors and patients, and can save cost more than 10,000 yuan of lawsuit at least, in addition, " in case the main fact, in order to adjust urging to defend " , social benefits and economic benefits brought happen in the dispute of reducing doctors and patients, will reduce larger social cost.

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