主管:国家卫生健康委员会
主办:国家卫生计生委医院管理研究所
中国科学引文数据库(CSCD)来源期刊
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Medical staffs' attitude towards the causes and precautions of docter-patient dispute

  

  • Online:2015-10-25 Published:2015-10-25

Abstract: Objective: To investigate the nurses and the doctors' attitude towards doctor-patient dispute. Methods: Totally 353 nurses and 306 doctors from 7 hospitals in Beijing were selected conveniently and surveyed with a self-made questionnaire.Results: The nurses' and the doctors' identification rates on the causes of doctor- patient dispute had significant differences (P<0.05) on 4 items, named unreasonable medical visit process, the medical staffs' service attitudes, medical staffs' sense of responsibility,and the medical staffs' medical skill. But they all agreed that the gap between therapeutic efficacy and the patients' expectation,overloaded medical staffs, different understandings on therapeutic efficacy between the medical staffs and the patients, patients'dissatisfaction with the society or the other issues, the communication problem between the medical staffs and the patients were important causes for doctor-patient dispute. In terms of the concerns after doctor-patient dispute, the nurses' and the doctors'identification rates had no significant differences (P>0.05) except item "negative effects on professional title evaluation". The identification rates which were more than 90.0% included disturbance of daily life and work from patients' entanglement,impairing working enthusiasm, negative effects to hospital and departments' performance. In terms of precautions to doctorpatient dispute, the nurses' and the doctors' identification rates had no significant differences (P>0.05) except 2 items, optimization medical visit process and shortening the waiting time, and positive news media orientation to the public. Furthermore, the nurses'and the doctors' identification rates on 7 items were all above 90.0%, such as improvement of the relevant laws and regulations,balance of the medical service resources, optimizing treatment process and shortening the waiting time, positive news media orientation to the public, improving the medical skill, communication skill and service attitudes of medical staff. Conclusion:Comprehensive measures, including guiding the public understand the medical process correctly, and improving relevant legislation further, could be helpful to reduce the occurrence of doctor-patient dispute and resolve them properly.