Promote the public trust that the medical association appraises

Promote the public trust that the medical association appraises
Promote the public trust that the medical association appraises
The intersection of staff reporter and XiaoNing Xu, recently, Chinese Medical Association hold the national malpractice to determine the organization work seminar in 2009, more than 400 medical associations of the whole country cure the ancient bronze mirror and do to staff members and participate in the conference, summarize, exchange experience in an all-round way. Among them, how to further improve the public trust of medical verification, not merely medical associations at all levels cure the topic that ancient bronze mirror people pay close attention to most, also become a goal pursued unswervingly. The team trains " One " Change " two " Carry on the training of the continuation in putting experts in storage, it is a heavy head job of medical association all the time. But should guarantee the high-quality qualification, only have high-level connoisseurs who are not enough, also there should be high-quality curing the organization man of ancient bronze mirror. At present, the training teams of a lot of medical associations have been already by " one " Turn into " two " . Among them with the medical association of Shanghai particularly " Train two teams by many kinds of modes " Result best. Unsatisfactory question of the result of connoisseur's team that the medical association of Shanghai trains to adopting the unified mode in the past, from 2008, put out connoisseur's group leader to train, assign to discipline expert's training, such many kinds of modeses as the interdisciplinary connoisseur is trained together, and strengthen the case and discuss the content, choose two expert's conclusions to have differences, or have different views greatly, the difficulty is complicated and because the new technology initiates the case of the dispute dispute, analyze from medical science and law two respect that realizes the difference, lead experts to establish the distinct thinking of qualification. Such as train the intersection of gi medicine and connoisseur, result in, diagnose case that delay causes dispute on less than the intersection of mirror and technical application, propose " how the relevant case of complication appraises " The question, strengthen the legal knowledge to study, make on the technological aspect in order and appraise the main point at the same time, the norm appraises the behavior. Secondly cure the ancient bronze mirror and do to personnel and strengthen the training of combat exercise to the medical associations at all levels of the whole city. At present, it is of low quality that the malpractice testimonial is written, such as the testimonial " main point of the dispute " Generalization perfect, " The summary of making a diagnosis and giving treatment " Focal point no outstanding, " Analyze the opinion " Causality does not expound or identical with expert's conclusion no, influence expert's conclusion could adopt into the letter directly. The medical association of Shanghai cures ancient bronze mirrors and runs staff members to launch training to all county in an all-round way, ask expert and judge explain of different qualification document to write, require, launch loud troop training and appraisal activity of the contest, the discussion forms the relatively standardized qualification document sample, the norm appraises making of document and administration behaviour. It is thinning constantly to appraise the procedure in the past, because the medical association determined that understood to the procedure uncompletely, often obscure the phenomenon of appraising the protagonist. If many people participate in the evaluation meeting, question even show the view etc. the party, make the party think by mistake that cure the ancient bronze mirror and do the forming that personnel participated in the expert's conclusion too, cause and cure the ancient bronze mirror and is done and appraised unjust criticism frequently. Cure the public trust of the work of the ancient bronze mirror in order to improve the medical association, the medical associations at all levels are thinning constantly and improving and appraising the organization procedure. The medical association of Hunan Province stipulates clearly staff members must strictly observe the duty, receive visitors and only tell the procedure that applied to appraise in accordance with the law, stop any dispute appraised; Organization collect must inform party about, cure property, function that ancient bronze mirror run, determine procedure and the intersection of expert's conclusion and the intersection of person who form and issue by written form in front of the connoisseur; Hold the evaluation meeting, who hosts the case whom to participate in, do the minutes well conscientiously, try hard to speak few besides reading out the discipline of the evaluation meeting. The medical association of Xi'an of Shaanxi Province sums up 30 links that must be paid attention to in appraising the organization work, and institutionalized its, require to cure ancient bronze mirror and run person to strictly observe. If insist on preparatory stage that discuss the system collectively at meetings of the office, discover the problems in time; Determine in the meeting must handle a case people the whole journey presenting, lead experts to link the theme closely to appraise justly; Determine the copy clerk must correct and check on word by word and sentence by sentence, stops the unnecessary mistake; Feedback determining to the connoisseur that adopts letter information,etc. regularly. At present, the regional medical association basically makes sure to appraise and organize links according to standardizing the requirement and operating, insist that determines to the entity that does not participate in, the principle not relaxed to the procedure question, the party pesters etc. than in the past after the experience is appraised. Deal carefully with the material authenticity problem in the malpractice determines that works, it is more and more outstanding that doctors and patients both sides query to appraise the material authenticity question, it is of common occurrence to cause the case that can't appraise too, the ones that become and hinder appraising carrying on normally " The bottleneck " The first. How to handle the reason " The party does not confirm materials " Suspend or stop difficult problem that appraise, medical association cure the warning go through persons and study the problem constantly, try various counter-measures, ensure the party's just rights and interests. The medical association of Dalian of Liaoning Province proposes, the key links of this predicament appear to lie in " confirming the material procedure " The defect exists. For this reason, they, often with trusting the department to communicate, the treatment on the question of material authenticity launches discussion from theory to practice, have basically reached common understanding. At present, the qualification which the municipal court of Dalian entrusted, is opened a court session to the material authenticity dispute cross-examination by the court first, then send the medical association to appraise. To doctors and patients both sides and qualification that the Ministry of Health entrusted, so long as the materials of the dispute will not exert an influence on the expert's conclusion, the medical association explains the situation to both parties, continue appraising the procedure after approved, suspend or stop appraising on the contrary. At present, municipal court this determine, have an optimistic view of constantly to medical association, medical association accept the intersection of qualification and case that court trust increase to 80% by 20% first already. The medical association of Shanxi eliminates and makes " Do not confirm dealing with the principle of the material " Outside, also the original " material confirmation form " Sign the procedure to change into " The expert panel appraises the letter of consent " Sign procedure, namely or content queried involve the key evidence to prove material to be untrue by cross-examination, does not influence technical appraisement, the medical association passes on the expert panel accurately, tell the party enjoys at the evaluation meeting yet and states right, sign the expert panel to appraise the letter of consent. After the party signs the letter of consent, the medical association organizes the evaluation meeting, submit to the expert panel and evade the doubtful point, and prove in the testimonial. The implementation of this procedure, should save the qualification success rate with true dispute case of material to obviously raise to make. Not reducing the expert's conclusion, a phenomenon malpractice expert's conclusion is determined the expert panel produces independently, the medical association has no right to interfere, but appraise the situation inconsistent with expert's conclusion again in the real work for the first time, public trust influencing the medical association to appraise. The statistics show, after the national malpractice dispute carries on the first qualification of medical association, more than about twenty percent of the case parties refuse to obey, then apply to appraise again. In order to ensure doctors and patients' legitimate rights and interests of both sides, cure the ancient bronze mirror and do staff member's objective analysis and look for the reason, canvass the countermeasure. After the medical association of Jiangsu Province cures the ancient bronze mirror and does the case that determines again for malpractice to 21 qualifications for the first time it is not the accident and combs analyzing, find influence determines twice the generality factor of the difference involves closing in medical organization, operation indication, complication, cause and effect at the basic level And the damage consequence is judged etc., because there is no unanimous criterion yet at present, it is very apt to cause the connoisseur to realize the difference. They study to show, the society pays close attention to this question very much at present, reduce the similar problem and happen, the medical association should accomplish something to do while curing the ancient bronze mirror. If cure ancient bronze mirror workers in the organization appraise, should pay close attention to appraising the thinking of the expert analysis question further, see whether they make making the reason with the indefinite accident clear or abundant. Meanwhile, the medical association of Jiangsu Province still takes various measures to strengthen the management to putting the expert in storage. If set up and appraise discipline rationally, set up connoisseur's good operation record and social evaluation system, divide the medical procedure into stage to judge etc., reduce the random that the expert appraises. Explore strange land determine relieve doctors and patients to be contradictory according to current legal provision, malpractice determine organize by local medical association. Because medical association and medical expert belong to hygiene trade, suffer from and then unavoidable to its production query of fairness, strengthen the tense intensity of the relationship between doctors and patients. The reporter finds, put forth effort to dissolve the contradictions of doctors and patients, explore that appraises the strange land, it is the medical association that cures the ancient bronze mirror and does the work that people set about especially too. The medical association of Shanghai appraises the strange land of the malpractice in the whole country first. October of 2004, medical association of Shanghai, Municipal Health Bureau, municipal higher people's court issue " opinion regarding the people's court trust the medical association to carry on several questions of judicial expertise of medical dispute " together. Among them article 2 stipulates: "Consulted by the both parties of the lawsuit and chosen the medical association of the county to appraise; Consult the inconsistent one, the people's court can appoint the county medical association outside the site of medical organization to appraise, " Determine the work is offered legislative authority for the strange land. Determine the characteristic of the system is in the strange land of the malpractice of Shanghai: Determine that is limited to the case that the court trusts in the strange land; Determine the organization work is still finished by every county medical association for the first time; Determine the expert panel is mainly made up of expert outside the administrative division. Implement more broad regional cooperation mechanism as to the complicated case of difficulty that this municipal court trusts. Among them, it is pool connoisseur resources, Shanghai gave every county and every supplementary expert with corresponding discipline the storehouse in unison from the city in 2006, form one block of storehouses + share the mode of the storehouse, has optimized connoisseur resources, has met the need of guaranteeing to appraise quality in the strange land. Shanghai implements the strange land and appraises it so far, has not merely improved the public's trust on the expert's conclusion of the malpractice, have also dispelled the connoisseur's worry, has played obvious facilitation in solving the medical dispute rationally. The Jilin Governor determines in spring that totally sets out from here actually in the strange land which the medical association of the city tries in recent years, it is of great impact or can't meet and appraise the medical dispute of the professional need to involve General Board and Vice Chairman and expert number of the relevant speciality that directed primarily to here, appraise the strange land among medical association at the same level of the Three Eastern Provinces. Their experience is, though the current laws and regulations have not determined to the strange land that makes stipulations yet, but determine to solving the great medical dispute, relieve the contradictions of doctors and patients, it is really an effectual method in the strange land. Three bright market medical associations in Fujian Province determine to the simple strange land the procedure improves, propose " the corresponding type is in different places to appraise and imagine the scheme in a proper order " . Its core is to take the form of video conference and appraise the strange land. The intersection of doctors and patients and both sides until locality cure the hosting that ancient bronze mirror run, pass the video telephone network video means of two places, exchange, question and reply with the connoisseur of the strange land, then is made the expert's conclusion independently by the expert in different places. They think, this scheme will be more tedious on the initial stage of implementing, need some previous input, once the condition possesses, this way will raise the efficiency appraised in dispute strange land of the malpractice greatly. Have promoted the suggestion that the malpractice appraised public trust since " medical crash handling regulations " bore the malpractice and appraised the important task for the medical association, the medical association has launched this job already for 7, has appraised the organization work from scratch, from having no experience at all to go on in order. But because of our country medical dispute deal with, store law in suitable to apply the dualization problem, it is more complicated to make the medical dispute dealt with, it is to make the phenomenon appraised to very person go to court, have aggravated the responsibility that the medical association cures ancient bronze mirror workers virtually. How to promote the public trust that the medical association is appraising constantly, the regional medical association proposes a lot of suggestions. The ones that look for and improve and appraise quality " Catch hands " Chinese Medical Association cure ancient bronze mirror run the intersection of director and Yan Zang, think, improve, cure the intersection of ancient bronze mirror and public trust of work, the units at various levels cure the ancient bronze mirror to do besides organizing and appraising the job in accordance with the law, need to operate the aspect and looking for " catch hands " ,Stopping up and appraising the loophole on links constantly, improve and appraise quality with connoisseur. In the present stage, cure ancient bronze mirror run, raise, determine " scratch hands " to organize work quality It is a prerequisite and three links. " a prerequisite " Let the connoisseur correct the psychology, will keep scientific analysis. " three links " Cure the key problem that the personnel in charge of the case of ancient bronze mirror must clarify doctors and patients' dispute during the course of appraising and preparing, sum up the main point of the dispute accurately, is transferred to the expert panel to discuss; Require experts to make conclusion and detailed analysis, explanation with tendentiousness in determining, avoid the conclusion of a style; Strictly control the testimonial and make quality, especially want the causality to the expert's conclusion to analyze and state in place, strive to make the expert's conclusion stand the deliberation of the court, party and social each side. Implement the medical association of Guangdong Province of the dynamic management cure ancient bronze mirror, run, get to the intersection of expert and storehouse out of, grow with each passing hour and build connoisseur's storehouse well, appraise the just and essential precondition. Up until now, the training branch of Chinese Medical Association has already developed to 84, some trainings have also subdivided the speciality out and studied group even single number, it is closely related to clinical technical development that the malpractice is appraised, the storehouse of connoisseur of medical association answers and develops synchronized construction with medical science, and determine quality is checked and rated synthetically in putting experts in storage and pass the dynamic managerial expert's storehouse, realize and appraise justly to the greatest extent. Set up the imperative medical association of Guangdong Province of hearing system and cure the ancient bronze mirror and do proposing, with curing the constant deepening that the ancient bronze mirror worked, set up the organization work hearing system of medical verification, can make, determine procedure to be further more open and more clear, also can improve participation degree of the social supervision, the knowledge structure that still helps to appraise personnel is complementary, increase the public's trust on the expert's conclusion. Advise Chinese Medical Association to cure the ancient bronze mirror to do and make the relevant regulation of the hearing system in unison, hearing personnel can be made up of medical science, medical jurisprudence, personage of law circles and deputy to the National People's Congress, reputable medical expert,etc., all determine to the medical association that there is case of an objection, can all supervise through the hearing channel. Increase to determine materials exchanging and procedure of confronting the investigators is on the basis of the current situation that the material authenticity increases that doctors and patients both sides query to determine at present, the medical association of Sichuan Province Chengdu cures the ancient bronze mirror and runs proposing, the related departments should improve and revise relevantly as soon as possible Legal provision, increasing doctors and patients both sides exchanges and appraises materials or carries on the legal ring of cross-examination in determining the procedure? Tomb �� Qian hard ��� nurse of ��'s reason Silly Zhyuan is arc Coil up, revolve gruel brag � The army is poor Chinese alligator give repeated exhortations Pang inferin the intersection of Rui and �� register for the intersection of cellar and the intersection of �� and bony the intersection of scull and ��� Core Song tip present?


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