in time to guide medical disputes into the conciliation proceedings. However

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Just last month, the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine disgrace happened to play with the health event created a hubbub. Why fall into long-term lack of trust between doctors and patients vicious situation? Not difficult to find, in reality, "no trouble do not pay, small downtown small compensation, row or lose a" medical trouble logic so that the doctor-patient relationship has scarred worsened.
 
Panic medical community: healthcare with pepper spray, batons work
 
Changsha Public Security Bureau, according to reports, on June 2, a deterioration of lung cancer patients, the First Affiliated Hospital of Hunan Medical University died. During and after the patients died in the rescue, medical rescue their families that inadequate measures, individual family feeling out of control, hit the spot push Doctor Wang, nurses and security Fumou tan. Among them, the families of Ouyang Dr Wang forcibly drag a dead bedside, forcing it to deceased kneel down for several minutes.
 
Hospital,http://www.groundriddim.com/h/cgi/news/news.cgi, vice president Chen Qihua said that at present, the hospital has strengthened the security forces, however, despite the outpatient hall, inpatient building has security patrols, but the "sense of insecurity" atmosphere so that part of the medical staff are still uneasy.
 
"I work in the emergency department, emergency department medical disputes most likely to occur every day many patients, due to lack of beds, can only treat some patients in the hallway, which makes the patient very unhappy. I Payouyitian, patients would I do it. "A hospital emergency department doctor said. Hunan emergency department of a hospital nurse also told reporters: "We are now working with the pepper spray, self-defense stick,louboutin outlet, just in case."
 
Medical trouble thinking gave birth to the "professional medical trouble."
 
Banyuetan reporter learned from the Hunan Provincial Health Department, according to incomplete statistics,http://genealogyregister.com, in Hunan medical institutions, secondary and higher total medical disputes from 2011 to 2012 in the year 4400 onwards, the amount of compensation at 100 million yuan.
 
Patient relationship just like fire and water, and the corresponding dispute settlement mechanism and very imperfect. Medical evaluation currently rely mainly on the doctor-patient consultations, administrative mediation, the Conciliation Commission, civil litigation and other ways, and as a legal basis for mediation as short as a few months or as long as a year or so, so that the people can not accept. If you go the judicial process,outlet hogan italia, also have to spend a lot of time and money.
 
In some people's idea of the respondents, the medical dispute as a third party is mainly composed of medical expert conclusions will be issued identification results are "biased" The hospital is suspect. Therefore, some patients in dealing with medical disputes, medical malpractice do not want to rely on the professional investigation and mediation mechanisms, but to hire "professional medical trouble." The hospital medical trouble often taken a conciliatory approach, strengthen the "trouble as long as you can achieve the purpose of" negative incentives.
 
In fact, this medical disputes are civil disputes, according to the law should be in accordance with judicial procedures. And some patients and their families choose to go downtown, even hiring "professional medical trouble," the doctor humiliation, beatings, so that medical disputes rise to criminal cases.
 
Some doctors said some patients "do not trouble not lose, lose small downtown small, row big pay" concept caused a vicious cycle, some hospitals and authorities to remain silent in order to "compounding" the attitude of the medical staff chilling, and some Medical doctors injury disgrace behavior is often hard evidence because nothing, these are invisible contributed medical trouble.
 
April 24 this year, the Supreme Court, Wei Planning Commission and other five departments jointly issued a "health-related crimes punishable by law to maintain the normal order of medical opinion" clearly on the six health-related criminal acts punishable by law. The opinions of the doctors involved in serious crime has been clearly defined, contribute to combating disrupt the normal working order of the hospital, medical trouble behavior hurt the hospital staff.
 
How to resolve medical disputes
 
Improve the medical dispute prevention and response mechanisms, to minimize the violence hurt the medical event. First, from the source to prevent medical disputes. Xiangya Hospital Professor Sun Hong believes that the medical process is a high-risk hospital patients and their families must be allowed to understand the objectivity of medical risks. While condemning the violence hurt the medical incidents, while hospitals should focus on improving the content of the degree of public health risk.
 
Sun Hong suggested that hospital conditions can introduce lawyers and legal establishment of doctor-patient communication rooms consulting rooms, high-risk major surgery, patients using new technologies and new methods of diagnosis and treatment, patients treated with specific drugs, etc. and our conversation informed the Patients with preoperative discussion, surgical indications, surgical program and other relevant circumstances fully informed and to communicate, full-time lawyers to inform the right enjoyed by family members of patients and obligations to be followed, the whole process audio and video conversations.
 
It is reported that since 2012, there is a complete record of Xiangya Hospital high-risk cases were a total of 762 cases have been talking to all those involved in the conversation of the cases, good communication, along with medical disputes occurred.
 
The second is led by the Government, establish and improve hospital emergency handling mechanism. Hunan Provincial People's Hospital, vice president Professor Xiang Hua recommendations, should be prepared to medical disputes caused by the sudden mass incidents plan, organize relevant departments rushed to the scene within half an hour of major medical dispute, composition order maintenance,http://www.earthforums.com, expert consultation, accident identification,http://www.aaronlanguage.com, dispute mediation work group for disposal, the place quickly resolve medical disputes.
 
Third, improve the health of third-party dispute resolution system. Hunan Provincial Health Bureau of Medical Affairs Director of High JiPing recommended the establishment of a third-party medical dispute mediation committee people, equipped to understand the law, familiar with the policy, good business people full-time mediator, appointed legal, medical and other professionals expert database,[url=https://umemomosakura.com/cgi-def/admin/C-002/guestbook/visit/main.pl?PAGE_NUM=1https://umemomosakura.com/cgi-def/admin/C-002/guestbook/visit/main.pl?PAGE_NUM=1[/url], improve the mediation system , work independently. (Reporter Shuai)
 
Medical tune Committee: New Probe to resolve medical disputes
 
In recent years, large numbers of conflicts and disputes between doctors and patients, seriously affect the social harmony. January 2009, Tianjin in the lead in the form of provincial government issued orders "Tianjin Medical Dispute disposal methods",woolrich outlet online, by way of innovation and social governance, set up third-party mediation organization "People's Tianjin Medical Dispute Mediation Committee" . 5 years, Tianjin Medical tune Commission received a total of 2304 medical dispute mediation, conciliation success rate of 87.5%, 100% implementation of the agreement, recognition of patients and their families and medical staff.
 
Independent status to eliminate black-box operation, liability insurance to achieve risk-sharing
 
"Tianjin Medical Dispute disposal methods" requires the amount claimed more than 10,000 yuan in medical malpractice should be adjusted to the Medical Commission or Court of Justice, and government leaders at all levels shall not violate the provisions of Government Decree intervention treatment of medical disputes, and "shall not interfere in administration the hospital is prohibited Compounding "dual control double insurance. Meanwhile, in violation of the provisions of "Compounding" medical institutions, government leaders set dismissed, agency downgrades assessment of a veto of the three high-voltage lines.
 
"To the health administrative departments to resolve disputes,http://www.balibali.com/cgi-bin/bbs/petit.cgi, the patient will feel that this is the relationship between father and son, was fair in form is difficult. To court to resolve, the cost is too high. In this case, the medical transfer committee certainly can play a good effect. "Shu Ouyang Tianjin Medical tune Commission director, said the medical committee of mediators who transfer under the judiciary administers, for patients and hospitals are mere" third party. " Meanwhile, doctors transferred free of charge to both doctors and patients the mediation committee, funded entirely by the municipal office expenditure, to avoid patients worried about secret operations.
 
In addition, Tianjin also achieved through the introduction of medical risk sharing medical liability insurance. Since 2009, more than two public hospitals in Tianjin in the full implementation of medical liability insurance.
 
Banyuetan reporter learned that the insurance company to carry out business in accordance with the medical liability insurance claims "guaranteed profit, shared" principles and commitment to mediation or court decisions 10 working days of suffering from side included the indemnity account, to ensure timely claims to improve the implementation rate of mediation Agreement.
 
Currently, there are 43 tertiary hospitals in Tianjin and 38 secondary hospitals to participate in medical liability insurance, the insured hospital expanding the scope of insurance claims timely. 5 years, the implementation rate of the compensation agreement has been maintained at 100%, together with secondary patient conflicts caused due to insurance claims did not occur.
 
Director of the Tianjin Bureau of Justice grassroots Banyuetan Du told reporters, in addition to government procurement of services, the introduction of mechanisms other than liability insurance claims in the future may also introduce social organization funds. "We have this entirely purchased by the Government Medical tune Commission services, insurance and hospital risk-sharing model may be difficult to replicate in other larger,http://www.s-ee.t.kyoto-u.ac.jp, less-developed provinces. Introduction of social organizations such as charitable foundations to bear part of the costs, should It is a future direction. "
 
"Professional people doing professional thing."
 
It is understood, Tianjin Medical tune Committee of 22 full-time people's mediators all have professional qualifications clinical medicine, pharmacy or law and other. In addition, medical transfer committee also hired 239 senior medical experts, judicial experts, lawyers and insurance personnel to form an expert advisory board.
 
"Professional people doing professional thing, the medical dispute mediation must work through many years of experience in the medical people, the best doctor is the first line." Du said that if there is no clinical knowledge, the mediator is difficult to express through the patient immediately to grasp the essential core of events, this way, there is no way to start mediation.
 
Medical disputes how to adjust? "Find out the facts, clarify responsibilities, compensation according to law. This is our mediator three-step conciliation procedure,http://www.kijitsuhan.com, is the principle of our work." Li told reporters mediator, mediation is not half-hearted, all six blows often doctors and patients Both sides are satisfied, according to the law, fair and reasonable is the key to the success of medical dispute people's mediation.
 
Li to reporters cited an example: The patient surnamed Yin in a top three hospital, after death, the family claims 105,000 yuan to the hospital. After investigation and verification, consultants based diagnostic and treatment practices recognized medical side should bear 30% of the responsibility, according to estimates need to compensate 205,000 yuan. Following further communication with the medical side, the medical side of the results of the mediation endorse and sign the agreement, so that the actual compensation is higher than the amount claimed.
 
"Mediation is not a Party to require a patient to less tune, but according to the law, the number of how many." Tianjin Medical tune Committee operational guidance director Sunxue Qi said that in the medical dispute mediation, the liability and the amount of compensation is often identified the focus of the dispute between doctors and patients, but also the difficulty of mediation work, especially after the "Tort Law", an increase in medical damage infringement cases, patients and their families suffering from side to climb the amount claimed. To this end, the medical transfer committee establish a new system, and always adhere to the law mediation mechanism, adhere to the principles of fair and open, give full play to the defense of people's mediation role.
 
"Medical transfer committee's work is not only to build a platform for communication and coordination between doctors and patients, but also help healthcare organizations improve the professional level and professionalism, from the source to prevent occurrence of medical disputes." Party secretary of Tianjin Municipal Health Bureau  said that every month the Tianjin Health Systems to be held in case of medical dispute analysis will be paid more than 10,air jordan pour femme,000 yuan for each case analysis of whether there are medical defects. Meanwhile, Jiangyoufalie disposal of medical disputes and medical management, hospital grade assessment hook.
 
Legal safeguards need to be solved in many ways to resolve medical disputes still need to explore
 
. "Mediation system is not a panacea, and we still have more than ten percent of the cases there is no successful mediation," Ouyang Shu told reporters that although the majority of patients and their families can rationally solve the problem, but there are still a few people will choose to extreme behavior - - so-called "medical trouble."
 
After the "Tianjin Medical Dispute disposal measures" to implement, Health Bureau, Justice Bureau, Public Security Bureau, the Insurance Regulatory Bureau, medical transfer committee and other departments to establish joint meeting system and develop contingency plans for handling medical disputes, in "medical trouble" and other serious incidents The first time will be rushed to the site office, in time to guide medical disputes into the conciliation proceedings. However, a number of specific legal provisions in support there are still many gaps.
 
"The current laws and regulations on the rights and obligations of both doctors and patients medical practice standards, compensation standards of medical damage, disruption of normal medical order and interference penalties specific medical practice and to protect the development of medical science and clinical teaching techniques carry a Series provisions are not clear enough, which led to the identification and compensation for inconsistent results, according to activists affect the risk of side choices. "Wang Hesheng said.
 
In addition, Wang Hesheng believes that the current China's medical risk sharing mechanisms are not perfect, the people insured medical accident insurance and health insurance business awareness is not enough place. These are objectively increased the difficulty of resolving medical disputes. "Sickness, poverty caused by major diseases comprehensive social assistance system still need further improvement,nike pas cher pour homme, including the Home Relief, a charity relief."
 
Medical tune Commission for the current operating conditions, Shu Ouyang said they faced a shortage of personnel, overload problem. "Every hand mediators are now two or three pieces backlog disputes because of the treatment, not add new mediator on some excellent mediators also poach, the medical personnel committee of the urgent need for supplementary expansion of tune. "(Reporter Liu Lin)
 (Edit: SN123)