Resolving and Preventing Medical Disputes in China
Keywords:
medical disputes, healthcare reform, quality improvementAbstract
Medical disputes have been a major issue for the Chinese government. Though Chinese government implemented regulations on handling medical accidents in 2002, annual incidents of medical disputes have dramatically increased from 6,324 cases in 2003 to 115,000 cases in 2014. Several factors led to the medical disputes from the perspectives of patient satisfaction, physician performance and the healthcare system. This paper explores the reasons underlying the complex issue and tangible solutions to address the medical disputes in the future.
医疗纠纷已成为困扰中国的一件大事。尽管中国政府于2002年推行了《医疗事故处理条例(草案)》， 医疗纠纷事件从2003年的6324起急剧上升到2014年的11,5000起。从病人满意度，医生行为和医疗体系等方面看，医疗纠纷并非单一因素造成的。此文剖析了医疗纠纷的成因，并提供了未来解决医疗纠纷的可行方法。
References
Li et al. Claims, liabilities, injures and compensation payments of medical malpractice litigation cases in China from 1998 to 2011. BMC Health Services Research 2014, 14:390
Yanlin Zhang. 7.3 Billion Outpatient Visits and 70 Thousand Cases of Medical Disputes across China in 2013.available from http://news.china.com.cn/2014lianghui/2014-03/06/content_31697219.htm. (2014-03-06)
Jianfeng Bai. 115 thousand cases of medical disputes in 2014. available from http://news.xinhuanet.com/legal/2015-01/22/c_127409428.htm. (2015-01-22)
Opinion of the Central Committee of the Communist Party and the State Council on Deepening Reform of the Medical Health System, Xinhua Online (Apr. 6, 2009)
Huifeng Wang, A Dilemma of Chinese Healthcare Reform: How To Re-define Government Roles?, 20 China Econ. Rev. 598, 601–02 (2009)
Wangchuan Lin et al., Urban Resident Basic Medical Insurance: A Landmark Reform Toward Universal Coverage in China, 18 Health Econ. S83, S83 (2009)
Meng et al., supra note 21, at 812; Winnie Chi-Man Yip et al., Early Appraisal of China’s Huge and Complex Health-Care Reforms, 379 Lancet 833, 833 (2012).
Current Status and Legal Treatments of Medical Disputes in China, Legal and Forensic Medicine, 2013, pp 1445-1457
Nili Zhang et al. Statistical Analysis of Medical Dispute Cases Based on Related Literature from 2009 to 2013, Medicine and Society Vol.27 No.6 Jun. 2014.
Liebman, B. L. (2013). Malpractice mobs: medical dispute resolution in China. Columbia Law Review, 181-264;
Statistic Bulletin on China’s Health Service Development in 2006.http://www.nhfpc.gov.cn/mohwsbwstjxxzx/s7967/200805/34857.shtml;
Statistic Bulletin on China’s Health Service Development in 2008.http://www.nhfpc.gov.cn/mohwsbwstjxxzx/s7967/200904/40250.shtml.
Liu Yi & Tian Feng, Brief Analysis of the Causes and Prevention of Medical Disputes, Chinese J. Current Hosp. Admin., no.1, 2003, available at http://journal.9med.net/html/qikan/yyglyyfyxwsx/zhxdyyglzz/2003911/ysfg/20080903014220702_15972.html.
Zhao Zhongwei, Income Inequality, Unequal Health Care Access, and Mortality in China, 32 Population & Dev. Rev. 461, 474 (2006)
Report on Nationwide Health Services in April 2011 (May 9, 2011), available at http://www.nhfpc.gov.cn/mohwsbwstjxxzx/s7967/201106/52031.shtml
Anti-Bribery Measures Targeting Individuals Cannot Eliminate the Root Cause of Doctors Taking Kickbacks, Zhong Qing Zai Xian [China Youth On Line] (Nov. 3, 2011).
The Annual Income of a 3A Hospital's Director Is More Than 1 Million RMB, with the Gray Income Far Exceeding Salary, Pingxiang Pingdao [Pingxiang Channel] (Jan. 13, 2012, 9:54 PM),
Yu H, Hu Z, Zhang X, Li B, Zhou S. How to overcome violence against healthcare professionals, reduce medical disputes and ensure patient safety. Pak J Med Sci 2015;31(1):4-8. doi: http://dx.doi.org/10.12669/pjms.311.6446
Xuebin Wen et al. Current situation and countermeasures of medical damage risks sharing system in China, J Cent South Univ (Med Sci) 2015, 40(1) ht p://www.csumed.org.
How Corruption Blights China’s Health Care System By Hannah Beech Aug. 02, 2013, http://world.time.com/2013/08/02/corruption-blights-chinas-healthcare-system/#ixzz2vQGg5Gvq
Improving Glaucoma Patient Compliance http://www.ophthalmologymanagement.com/articleviewer.aspx?articleID=103767
AHRQ's Patient Safety Initiative Building Foundations, Reducing Risk. Available at http://archive.ahrq.gov/research/findings/final-reports/pscongrpt/psini2.html
“Prescription control regulations” announced on Sept 1st 2004. This document is available from the Chinese Ministry of Health website (in Chinese only).
Ministry of Health hold the working conference about the hospital management, April 18, 2005. This document is available from the Chinese Ministry of Health website (in Chinese only).
Shanlian Hu. Measuring and Improving Quality of Care in China: Strengths & Challenges. Healthcare Reform in China and the U.S: Similarities, Differences and Challenges April 13, 2011 Atlanta
Developing Commercial Health Insurance in China The CIRC-NAIC Joint Seminar on Health Insurance. John Morrison and Karen Eggleston. China-U.S. Healthcare Forum. July 11-12, 2005.
Chee Hew. Healthcare in China Toward greater access, efficiency and quality. IBM Institute for Business Value.(2006)
