Dissertation > Excellent graduate degree dissertation topics show

Cause Analysis and Strategy for Deficiencies of Medical Informating Duty in Public Hospital

Author: LiuYuYing
Tutor: OuJingCai
School: Southern Medical University,
Course: Social Medicine and Health Management
Keywords: Medical inform The right to informed consent Hospital Management Hospital culture
CLC: R197.3
Type: Master's thesis
Year: 2010
Downloads: 186
Quote: 0
Read: Download Dissertation

Abstract

Background Since the 20th century, with the biomedical and social development and progress, the medical model and the doctor-patient relationship mode shift, the gradual strengthening of the people's awareness of their rights in the course of medical treatment, and the sense of participation. Medical inform, informed choices gradually attracted attention. According to statistics from related departments of the Chinese Medical Association and other national medical malpractice cases to increase the speed of 11%, and patients to sue v. Chinese and that the medical side does not fulfill this obligation, violations of patients' informed consent rights of more than 60%. The lack of medical inform violation of the patient's right to informed consent, and lower patient satisfaction and loyalty, is not conducive to building a harmonious doctor-patient relationship. Medical obligation to inform medical personnel, many foreign countries such as the United States, the United Kingdom, the Netherlands, Finland, South Korea and China, Taiwan, Hong Kong has a clear legal provisions. And the Mainland of China, due to historical reasons, the construction of modern health legal late start, the medical obligation to inform the legislation is still in the preliminary stage. Legislative has made it clear that the obligation to inform medical medical staff, but there are many shortcomings, such as most of the administrative regulations and departmental rules and regulations, lower rank; provisions are too dispersed, no formation of specialized legal; inform the principal, to inform, informed of the provisions of the objects is not detailed enough and detailed, and difficult to operate. Informed consent of patients and medical inform the meaning of the definition to inform the principal to tell the object to inform the content inform the form at home and abroad has more research, but no uniform understanding of the connotation of the right to informed consent: Informed consent rights or rights? whether the right to informed consent includes the right to know? inform the lack of and the reasons for lack of medical inform existing medical analysis, mostly dispersed to describe the lack of depth and systematic analysis of the study; lack of medical inform response measures, mostly from the point of view of the legal construction. Systematic, holistic study continuing education, ethics, institution building, and more from the point of view of the hospital management from scattered research, the lack of response measures. Tort Liability Act, the imminent implementation of the lack of medical inform cause damage relief with clear legal provisions, prompting the hospital and medical staff to inform the lack of medical attention. At the same time, the the booming medical services and health care reform in depth carried out between public hospitals and convergence between public and private hospitals and medical technology department functions, policies and treatment. The health care market is highly competitive, and service competition has become the main strategy of market competition. In the new situation, the hospital to take measures to avoid the medical informed the lack of, and improve the level of medical informed and patient satisfaction and loyalty, is the general trend. The purpose and significance of the lack of systematic study the causes and countermeasures based on the right to informed consent, medical connotation inform there is considerable controversy, lack of medical inform this subject focus of this stage in public hospitals inform the lack of medical process medical The problem, according to the modern hospital management, organizational behavior theory, the integrated use of health services research methods, in-depth analysis on the basis of defined medical inform the connotation and inform the lack of public hospitals caused medical reasons, explore the social environment in the short term can not be fundamental change in circumstances, the management point of view from the hospital, looking for an effective solution to the lack of medical inform measures of public hospitals. View to the right of informed consent, medical informed understanding certain reference value in solving inform the lack of public hospitals, patients' informed consent, to improve the satisfaction and loyalty of patients and medical personnel, there is a certain harmonious doctor-patient relationship practical value, of other nature hospitals have a certain reference value. Inform the medical research ideas of this study are based on the narrow sense of the study (which corresponds to the patient's right to informed consent). First of all, the use of a literature study, site research, expert interviews and comparative combined qualitative research methods to define medical inform the connotation. On this basis, Guangzhou three public general hospital of 239 patients in the last five years, cases of complaints retrospective analysis reveals that the medical complaints of lack of medical inform. Secondly, inform the lack of public hospitals medical topic group discussion method of the main reason for its occurrence, and, respectively, from the management system, medical patients, legal, and cultural aspects into the details. Finally, we discuss the factors affecting medical informed analysis of the operability of the hospital level countermeasures. And from the perspective of the hospital culture management, management, organizational behavior knowledge, to propose an effective solution to public hospitals, lack of medical inform measures. Research conclusions (1) The right to informed consent is the reunification of informed consent is a right. Inform content and inform different purpose, can be divided into narrowly defined medical inform medical inform and inform the medical broadly. Narrowly defined medical inform against the patient's right to informed consent. The broad medical inform, part corresponds to the patient's right to informed consent, while the other part only corresponds to the patient's right to know. (2) Guangzhou City, one of the three public general hospital raised 2005.1-2009.12 five medical complaints of 239 cases, including medical inform the lack of 71 cases. The lack of medical inform including: not informed to do the check, open drugs; failed to inform surgical complications and considerations; did not inform the intraoperative surgical change; although signed informed consent, but the explanation is too positive healing effect, complications; inform patients not consider psychological factors; inform inaccurate (the cost of treatment, the cure rate, progression, etc.). The various medical inform the lack of proportion in addition to not inform intraoperative change the surgical approach smaller, no significant difference. Medical disputes caused by medical inform the lack of personnel, MD. Most of the means of settling disputes through internal consultations to resolve. (3) 10 caused by lack of medical inform reasons: medical inform the relevant laws and regulations are not sound; Confucian culture, medical ethics anomie and lack of social credit; medical model is not completely transformed; hospital management system and operation mechanism to be further improved ; system of medical education, continuing education mechanisms unreasonable; hospital management is weak; doctor-patient information asymmetry; ability and willingness of some of the patient's informed consent is not strong; particularity of the actual level of the medical staff and medicine. (4) medical inform the purpose to achieve the patient's right to choose, and realize the basis of the patient's own option in patients with informed fully and effectively. China's laws and regulations on medical inform no clear regulations and the law itself adjust the field of finite limitations, and lack of awareness of the patients of the right to informed consent and related legal, medical staff to provide comprehensive real clinic information can only rely on the hospital management and medical staff really respect the patient's autonomy and the right to health ethics. Hospital culture has a profound impact on the concept of the medical staff, the behavior of organizations and individuals. Therefore, in the case of the social environment in the short term does not fundamentally change the present study, from the point of view of the internal hospital management, hospital-culture into the material culture of the hospital, and to respect the patient's right to health and the right to informed consent, behavior, culture institutional culture and spiritual culture. In order to propose an effective solution to the lack of medical inform measures: ① establish a scientific concept of development and profit outlook, changes in the operation and management concepts; the ② perfect medical inform system, standardize medical inform; (3) to strengthen continuing education to improve informed capacity; ④ increase the hardware construction, improve medical inform environment.

Related Dissertations

CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Hospitals, general hospitals
© 2012 www.DissertationTopic.Net Mobile