[논문]The role of mediation in solving medical disputes in China

Wang, Mengxiao; Liu, Gordon G.; Zhao, Hanqing; Butt, Thomas; Yang, Maorui; Cui, Yujie

doi:10.1186/s12913-020-5044-7

The role of mediation in solving medical disputes in China 원문보기

BMC health services research, v.20, 2020년, pp.225 -

Wang, Mengxiao (National School of Development, Peking University, Beijing, 100871 China) , Liu, Gordon G. (National School of Development, Peking University, Beijing, 100871 China) , Zhao, Hanqing (Sichuan Development Center for Healthy Aging, Chengdu, 610094 China) , Butt, Thomas (National School of Development, Peking University, Beijing, 100871 China) , Yang, Maorui (Department of Economics, Louisiana State University, Baton Rouge, 70820 USA) , Cui, Yujie (China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, 200025 China)

Abstract ▼ AI-Helper

BackgroundMedical litigation represents a growing cost to healthcare systems. Mediation, arbitration, and other alternative dispute resolution (ADR) methods are increasingly used to help solve the disputes and improve healthcare satisfaction. In China, the increasing number of medical disputes has contributed to concern for the safety of physicians and mistrust between physician and patients resulting in ADR processes being established in several provinces in recent years. Our aim was to describe and explain the impact of this new mediation process in the Chinese healthcare system.MethodsOur study investigated mediation practices in China using case-level data from 5614 mediation records in Guangdong Province between 2013 and 2015. We investigated how the resolution success as well as the compensations are associated with the case characteristics using regression analysis.ResultsAmong the cases analyzed, 1995 (41%) were solved with agreement through mediation, 1030 were closed by reconciliation, 559 were closed by referring to court and 1017 cases were withdrawn after mediation. Five hundred five Yinao cases were solved with the help of mediators on the spot. We find that mediation solved about 90% of medical disputes under present mechanisms, while more police support is needed to cope with Yinao. The average compensation of mediation is CNY60,200 and average length of mediation is 87 days. Longer time taken to reach resolution and more money claimed by patients are associated with lower resolution success rate (p < 0.01) and higher compensation levels (p < 0.01).ConclusionOur results show the performance of mediation mechanisms in China to help solve medical disputes. ADR plays a role in reducing the need for initiating litigation and may ultimately increase satisfaction with the healthcare system.

주제어

참고문헌 (33)

1. Partnership CJS Deepening health reform in China: building high-quality and value-based service delivery 2016
2. Blumenthal D Hsiao W Privatization and its discontents-the evolving Chinese health care system N Engl J Med 2005 353 11 1165 1170 10.1056/NEJMhpr051133 16162889

상세보기
3. Tucker JD Cheng Y Wong B Gong N Nie JB Zhu W McLaughlin MM Xie RS Deng YH Huang MJ Patient-physician mistrust and violence against physicians in Guangdong Province, China: a qualitative study BMJ Open 2015 5 10 e008221 10.1136/bmjopen-2015-008221

상세보기
4. Yao S Zeng Q Peng M Ren S Chen G Wang J Stop violence against medical workers in China J Thoracic Disease 2014 6 6 141 145
5. Wu D Wang Y Lam KF Hesketh T Health system reforms, violence against doctors and job satisfaction in the medical profession: a cross-sectional survey in Zhejiang Province, Eastern China BMJ Open 2014 4 12 e006431 10.1136/bmjopen-2014-006431

상세보기
6. Saeki K Okamoto N Tomioka K Obayashi K Nishioka H Ohara K Kurumatani N Work-related aggression and violence committed by patients and its psychological influence on doctors J Occup Health 2011 53 5 356 364 10.1539/joh.11-0108-OA 21828959

상세보기
7. Pan Yu Yang Xiu hong He Jiang Ping Gu Yan Hong Zhan Xiao Li Gu Hui Fang Qiao Qing Yan Zhou Dong Chi Jin Hui Min To be or not to be a doctor, that is the question: a review of serious incidents of violence against doctors in China from 2003？2013 Journal of Public Health 2015 23 2 111 116 10.1007/s10389-015-0658-7

상세보기
8. Hesketh T, Wu D, Mao LN, Ma N. Violence against doctors in China. BMJ. 2012;345.
9. Zheng T: Analysis on generation mechanism and regulation approaches of interests-seeking Yinao. Journal of Yunnan University Law Edition 2016, 29(3):51？57.
10. Tianjin procuratorate approved the arrest of criminal suspects of hospital violence of the Armed Police Froce Hospital. https://www.guancha.cn/society/2018_07_17_464513.shtml . Accessed 17 July 2018.
11. Wang H Shi J Cheng W Research review on medical disputes in China Med Jurisprud 2016 12 1 83 87
12. He AJ Qian J Explaining medical disputes in Chinese public hospitals: the doctor-patient relationship and its implications for health policy reforms Health Econ Policy L 2016 11 4 359 378 10.1017/S1744133116000128

상세보기
13. Chen B Analysis of the inversion for responsibility of proof citation in medical tort actions under the background of Tort Liability Law of P.R.C China Health Law 2010 5 53 55
14. Ministry of Health, Ministry of Public Security. Notice on maintaining the order of medical institutions 2012. http://www.nhfpc.gov.cn/yzygj/s7658/201205/fb53a6594ef2413ca7ef661859a5b7de . Accessed 17 July 2017.
15. Friedson AI Medical malpractice damage caps and provider reimbursement Health Econ 2017 26 1 118 135 10.1002/hec.3283 26498742

상세보기
16. Li H Wu X Sun T Li L Zhao X Liu X Gao L Sun Q Zhang Z Fan L Claims, liabilities, injures and compensation payments of medical malpractice litigation cases in China from 1998 to 2011 BMC Health Serv Res 2014 14 1 181 189 10.1186/1472-6963-9-181 24755368

상세보기
17. DeVille KA The jury is out: pre-dispute binding arbitration agreements for medical malpractice claims - law, ethics, and prudence J Legal Med 2007 28 3 333 395 10.1080/01947640701554492

상세보기
18. Nakanishi T New communication model in medical dispute resolution in Japan Bull Yamagata Univ Med Sci 2013 31 1 8
19. Shi M Zhang H Cheng Q Analysis on the causes, distribution and compensation of 5012 medical damage disputes Med Jurisprud 2015 7 6 42 48
20. Pegalis SE Bal BS Closed medical negligence claims can drive patient safety and reduce litigation Clin Orthop Relat R 2012 470 5 1398 1404 10.1007/s11999-012-2308-5

상세보기
21. Sohn DH Sonny Bal B Medical malpractice reform: the role of alternative dispute resolution Clin Orthop Relat R 2012 470 5 1370 1378 10.1007/s11999-011-2206-2

상세보기
22. Zhao C Zhu B Empirical study and countermeasures discussion on medical disputes -Based on the analysis on cases accepted by Gulou District People’s Mediation Committee of medical disputes from 2010 to 2013 Acta Universitatis Medicinalis Nanjing (Social Sciences) 2015 5 349 354
23. National Bureau of Statistics of the People’s Republic of China China Statistical Yearbook, vol. 36 2017
24. Cohen SM Kim J Roy N Factors influencing the health care expenditures of patients with laryngeal disorders Otolaryngol Head Neck Surg 2012 147 6 1099 1107 10.1177/0194599812454838 22820973

상세보기
25. National Health and Family Planning Commission. Basic Measurements for Medical Institutions (Pilot Draft) 2017. http://www.ncwjw.gov.cn/html/faguizhongxin/201708286822.html . Accessed 8 Aug 2018.
26. Szmania SJ Johnson AM Mulligan M Alternative dispute resolution in medical malpractice: a survey of emerging trends and practices Conflict Res Q 2008 26 1 71 96 10.1002/crq.224

상세보기
27. Li C Empirical research on the third-party mediation mechanism in medical dispute Chin Health Serv Manag 2014 31 2 125 127
28. Niu D Hou F Discussing the cause of private remedy on medical dispute and its countermeasures Chin Health Serv Manag 2011 28 6 442 444
29. Government of Guangdong Province. Approaches for preventing and dealing with medical disputes in Guangdong province 2013. http://zwgk.gd.gov.cn/006939748/201304/t20130409_371711.html . Accessed 18 Sept 2014.
30. City Government of Baoji. Interim procedures for mediation of medical disputes in Baoji city 2014. http://baoji.gov.cn/site/11/html/276/290/271688.htm . Accessed 8 July 2015.
31. Lu Z Study on the influence of medical disputes prevention based on the process reformation of cybernetic Health Econ Res 2015 338 6 46 49
32. Xu P Fan Z Li T Preventing surgical disputes through early detection and intervention: a case control study in China BMC Health Serv Res 2015 15 5 10.1186/s12913-014-0671-5 25608604

상세보기
33. Ministry of Health. General hospital classification and management standards (pilot draft) 1989. https://wenku.baidu.com/view/e1c9493710661ed9ad51f3ec.html . Accessed 19 Oct 2015.

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

The role of mediation in solving medical disputes in China 원문보기

Abstract ▼ AI-Helper

주제어

참고문헌 (33)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트