医生对医疗责任保险的认知和需求调查——以广州某三甲综合医院为例

 
投稿时间: 2015-08-10  最后修改时间: 2015-10-10  摘要点击次数: 2326  全文下载次数: 
 
引用本文:王安安, 周梅芳, 范阳东,等.医生对医疗责任保险的认知和需求调查——以广州某三甲综合医院为例[J].中国卫生政策研究,2015,8(10):51-56
王安安, 周梅芳, 范阳东, 陈俊畅
广州医科大学卫生管理学院 广东广州 511436
基金项目:教育部2015年人文社会科学青年基金;广州市“十二五”教育规划课题(2013A092)
 
 摘要:目的:调查医生对医责险的认知与需求,为医责险在我国的进一步发展提供政策建议。方法:对广州某三甲综合医院医生进行分层随机抽样调查,同时对相关部门负责人及个别医生进行访谈。结果:风险越高的科室,对医责险的认知越高,工龄越长的医生,对医责险越了解;医责险受到医生的普遍支持,需求意愿强烈,但对保费承担主体及分担意见差异较大。讨论:医生对医责险仍缺乏足够的认知,有效宣传较缺乏;医责险的构建模式仍比较模糊,政府主导能力及市场运作能力严重不足。建议:加大宣传力度并优化流程,提高医责险的认知度和参与度,完善医责险具体内容,加强监管,探索建立适合我国国情的医责险发展模式。 
  关键词:医疗责任保险  三甲综合医院  医生  认知  需求
 
Investigation on the awareness and demand for medical liability insurance of doctors: Case study of a top 3 general hospital in Guangzhou
WANG An-an, ZHOU Mei-fang, FAN Yang-dong, CHEN Jun-chang
The college of health management, Guangzhou Medical University, Guangzhou Guangdong 511436, China
 
 Abstract:Objective: This paper aims to investigate the awareness and demand for medical liability insurance of doctors, and to provide policy recommendations for the further development of medical liability insurance in China. Method: A stratified random sampling survey is conducted on doctors from a Top3 general hospital in Guangzhou, and the relevant departments and individual doctors were interviewed. Results: The higher the risk in a department, the higher their awareness of medical liability insurance becomes; the longer the length of service for a doctor, the more understanding of medical liability insurance the doctor has. Medical liability insurance is generally supported by doctors with a strong willingness of demand, but they opinions on bearing and sharing the insurance premium are quite different. Discussion: Doctors still lack sufficient knowledge of medical liability insurance due to the lack of effective publicity.The structural mode of medical liability insurance is still relatively vague, and the government leadership and market operation ability have a serious shortage. Suggestion: This paper suggest to improve the relevant laws and regulations of medical liability insurance, to strengthen government supervision and publicity, to build a reasonable development model of medical liability insurance in line with the national circumstances, and to strengthen an effective combination of government leadership and market operation. 
 keywords:Medical liability insurance  The tertiary general hospital  Doctor  Awareness  Demand