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目的通过分析不同级别医院医疗事故的特点,探讨评估医疗纠纷的法医学策略。方法收集南京医科大学基础医学院法医学系2009年至2010年鉴定的206例医疗纠纷案件,分析了各级别医院医疗纠纷的发生率、易发生部门和治疗的参与程度。结果 206例案件中,三级医院、二级医院和基层医院分别显示中等、高和较低的医疗纠纷发生率。医疗纠纷案件绝大多数分布在外科、内科和妇科。结论二级医院的医疗纠纷发生率和严重程度较高,而在三级和基层医院逐渐减少。
Objective To analyze the forensic strategy of evaluating medical disputes by analyzing the characteristics of medical accidents at different levels of hospitals. Methods A total of 206 cases of medical disputes identified from 2009 to 2010 were collected from the Department of Forensic Medicine, Nanjing Medical University. The incidences of medical disputes and the degree of participation in treatment-prone departments and treatment were analyzed. Results Of the 206 cases, tertiary hospitals, secondary hospitals and primary hospitals showed respectively the incidence rates of moderate, high and low medical disputes. The vast majority of medical disputes in the surgical, medical and gynecological. Conclusion The incidence and severity of medical disputes in secondary hospitals are relatively high, while they are decreasing in tertiary and primary hospitals.