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目的:分析院前急救的医患纠纷原因,提出避免医疗纠纷发生的有效对策。方法:取医院于2007年1月～2011年1月间的院前急症医患纠纷调查表作为调查对象,回顾性分析4年间院前急症的医患纠纷发生原因,比较各个因素之间所占比例大小。结果:过去4年医院院前急症发生的医患纠纷主要原因为:医患沟通不良(61.9%)、出诊时间滞后(19.0%)、对于患者的知情同意意识不强(14.3%)、收费过高(4.8%)。结论:院前急救医患纠纷的发生有其职业特殊性,也有操作欠缺性。通过规范各项规章制度,增加患者知情同意意识,增强与患者之间的沟通,合理调度出诊机制,透明化收费制度等,可以增强患者及其家属对医疗体系的信任,有效避免或者减少院前急诊中医患纠纷的发生,推动医疗行业的发展。
Objective: To analyze the causes of disputes between doctors and patients in pre-hospital emergency and put forward effective countermeasures to avoid the occurrence of medical disputes. Methods: Take the hospital from January 2007 to January 2011 pre-hospital emergency medical dispute investigation questionnaire as the object of investigation, a retrospective analysis of 4-year prehospital emergency doctor-patient dispute causes comparison between the various factors accounted for Proportional size. Results: The main reasons for the hospital-related emergency in the past four years were poor communication between doctors and patients (61.9%), lag time (19.0%), lack of informed consent (14.3%), fees High (4.8%). Conclusion: The occurrence of pre-hospital emergency medical disputes has its own specialty and its operation is not enough. By regulating the rules and regulations, increasing awareness of patients’ consent, enhancing communication with patients, rationalizing the visiting mechanism and transparent charging system, the trust of patients and their families in the medical system can be enhanced, and the hospital before the hospital can be effectively avoided or reduced Emergencies of TCM disputes, promote the development of the medical industry.