Research on Influencing Factors of Medical Liability in Medical Accidents Appraisal Based on Qualitative Comparative Analysis
- VernacularTitle:基于定性比较分析的医疗事故鉴定医方责任影响因素研究
- Author:
Yi LUO
1
;
Lei ZHANG
;
Wenhua WANG
Author Information
1. 陕西省卫生行业学会服务中心 陕西 西安 710003
- Keywords:
medical accident appraisal;
medical liabilities;
influencing factor;
qualitative comparative analysis
- From:
Chinese Hospital Management
2024;44(3):72-75
- CountryChina
- Language:Chinese
-
Abstract:
Objective Explore the key factors and the type of combined role path of medical accident appraisal con-clusion for the medical responsibility,and provide solution countermeasures for the reduction of medical accidents and the construction of a harmonious doctor-patient relationship.Methods Qualitative comparative analysis(QCA)was used to study 125 cases of medical accident appraisal center in a certain province from 2015 to 2019.The fsQCA software was used to detect the necessity of single factor and the configuration path of multiple factors.Results There were three solutions to the configuration of medical liability for medical accidents,with an solution consisten-cy of 0.853 659 and an overall coverage rate of 0.603 448;draw three paths for the conclusion of medical liability,and summarize three types of combined effects:medical institution management vacancy type,medical staff techni-cal negligence type,and comprehensive effect type of both doctors and patients.Conclusion Attaching importance to institutional management is the basis for evading medical liabilities,standardizing medical staff's diagnosis and treatment behavior is the core to reduce medical accidents,and strengthening humanistic concepts and doctor-pa-tient communication are the key to prevent medical accidents.
