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目的了解重庆市医患双方对第三方调解的认知情况,从医方和患方的视角探究第三方调解的劣势,提出促进第三方调解进一步发展措施。方法对重庆市12家医院的医护人员及患者进行分层抽样问卷调查。结果医方、患方对第三方调解的清楚率分别为83.22%、55.21%。单因素卡方分析结果显示:不同年龄(P<0.001)、工作年限(P=0.001)、职称(P=0.005)、是否遭遇过医疗纠纷(P=0.01)的医务人员之间知晓差异有统计学意义;不同职业(P=0.041)、是否遭遇过医疗纠纷(P=0.022)的患者之间知晓差异有统计学意义。医患双方认为第三方调解最大的劣势是调解有和稀泥现象,有失公正,缺乏权威性。结论医务人员对第三方调解有较高的认知度,有利于第三方调解可持续发展,但是对于重庆市第三方调解仍然需要加强宣传。
Objective To understand the cognition of doctors and patients in Chongqing on third-party mediation, explore the disadvantages of third-party mediation from the perspectives of doctors and patients, and propose measures to promote the further development of third-party mediation. Methods A questionnaire survey of health care workers and patients in 12 hospitals in Chongqing was conducted by stratified sampling. Results The clear rates of medical side and party side mediating third party were 83.22% and 55.21% respectively. The result of univariate chi-square analysis showed that there was statistically significant difference between medical staff at different ages (P <0.001), working years (P = 0.001), job title (P = 0.005), medical disputes (P = 0.01) Significance of learning; There were significant differences in knowledge among patients of different occupations (P = 0.041) and medical disputes (P = 0.022). Both doctors and patients believe that the biggest disadvantage of third-party mediation is the mediation and smearing, unfairness and lack of authority. Conclusion Medical staff have a higher recognition of third-party mediation and are conducive to the third-party mediation and sustainable development. However, there is still a need to strengthen publicity for third-party mediation in Chongqing.