Risk management and empirical study of the doctor-patient relationship: based on 1790 litigation cases of medical damage liability disputes in China.

Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Physician-Patient Relations* ; Liability, Legal* ; Malpractice*/legislation & jurisprudence ; Malpractice*/statistics & numerical data ; Malpractice*/economics ; Risk Management*; Humans ; China ; Compensation and Redress/legislation & jurisprudence ; Dissent and Disputes/legislation & jurisprudence ; Empirical Research

Background: Compensation for medical damage liability disputes (CMDLD) seriously hinders the healthy development of hospitals and undermines the harmony of the doctor-patient relationships (DPR). Risk management in the DPR has become an urgent issue of the day. The study aims to provide a comprehensive description of CMDLD in China and explore its influencing factors, and make corresponding recommendations for the management of risks in the DPR.
Methods: This study extracted data from the China Judgment Online - the official judicial search website with the most comprehensive coverage. Statistical analysis of 1,790 litigation cases of medical damage liability disputes (COMDLD) available from 2015 to 2021.
Results: COMDLD generally tended to increase with the year and was unevenly distributed by regions; the compensation rate was 52.46%, the median compensation was 134,900 yuan and the maximum was 2,234,666 yuan; the results of the single factor analysis showed that there were statistically significant differences between the compensation for different years, regions, treatment attributes, and trial procedures (P < 0.05); the correlation analysis showed that types of hospitals were significantly negatively associated with regions (R=-0.082, P < 0.05); trial procedures were significantly negatively correlated with years (R=-0.484, P < 0.001); compensat- ion was significantly positively correlated with years, regions, and treatment attributes (R = 0.098-0.294, P < 0.001) and negatively correlated with trial procedures (R=-0.090, P < 0.01); regression analysis showed that years, treatment attributes, and regions were the main factors affecting the CMDLD (P < 0.05).
Conclusions: Years, regions, treatment attributes, and trial procedures affect the outcome of CMDLD. This paper further puts forward relevant suggestions and countermeasures for the governance of doctor-patient risks based on the empirical results. Including rational allocation of medical resources to narrow the differences between regions; promoting the expansion and sinking of high-quality resources to improve the level of medical services in hospitals at all levels; and developing a third-party negotiation mechanism for medical disputes to reduce the cost of medical litigation.
(© 2024. The Author(s).)

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No. 2023AH050561, No.2022AH051143, No. KJ2021A0266, and No. KJ2021A1228 the Natural Science Foundation for the Higher Education Institutions of Anhui Province of China; 2023gykj09 the Open Program of Hospital Management Institute, Anhui Medical University; No.72374005 the National Natural Science Foundation of China; No.72188101 the NSF Center for Basic Science Project; No.2021xjkc13 School-level offline courses

Keywords: Compensation; Doctor-patient relationship; Empirical analysis; Liability disputes; Medical damage; Risk management

Date Created: 20240425 Date Completed: 20240426 Latest Revision: 20240428

20240428

PMC11044444

10.1186/s12913-024-10952-x

38664671