基于公立医院动态人本化管理的医患冲突预警和干预模式构建

项目名称： 基于公立医院动态人本化管理的医患冲突预警和干预模式构建

项目编号： No.71473261

项目类型： 面上项目

立项/批准年度： 2015

项目学科： 管理科学

项目作者： 柏涌海

作者单位： 中国人民解放军第二军医大学

项目金额： 62万元

中文摘要： 近年来我国医患冲突逐年上升，暴力恶性事件难以遏制，对医患双方都造成极大伤害和对立，然而宏观的体制性防控失范，微观的系统预警和主动干预匮乏。所以，立足国内特点，制订实用的风险预测和管理工具，改变目前的被动应对、事后处理，最大限度预防冲突发生、减轻后果则具有迫切和重大的社会现实意义。本研究拟以医疗活动为主线，医护人员和患者及其亲属为研究对象，利用文献回顾、量表检测、生化检测、行为观察、专家咨询、心理咨询与训练等方法，动态监测医患人际互动过程，筛选医患冲突的先兆风险因素，以医院内部信息集成系统为依托，完成多向度指标的融合和预警体系的构建，并逐级逐类分别制定针对医护人员、患者和家属以及公立医疗机构优化管理的干预方案，实现三位一体的动态人本化管理模式：即医疗供需双方的平等化管理，契合医学新模式；医护人员心理素质训练和心理健康保健，体现人文关怀；动态有效的微观预警与干预体系，融入医务管理常规流程。

中文关键词： 医患冲突；人本化；动态管理；预警与干预

英文摘要： In recent years, the physician-patient conflict is becoming more frequent, and violence caused by it has a trend of upsurge year by year, but systematic research of warning and management is limited. So, it's of great urgency and significance to generate practical risk profile and risk management tool according to the inland hospital and physician-patient conflict characteristics which aims to change the present passive response situation of the hospital, prevent the occurrence of conflicts and minimize the conflict consequence. This study makes the medical activities as the main line, medical staff and patients (including their main families) will be studied in this research and the process of their relationship will be dynamically monitored by means of literature review, questionnaire, physiology and biochemistry tests, behavioral observation, Delphi method, psychological counseling and training. We will determine the risk factors of physician-patient conflict, and then the analysis of the risk factors and construction of an alarming system will be finished based on the information integration system of the hospital. Also, systematic hierarchy intervening measures aim at medical staff, patients and their family members will be devised respectively. Finally, a triune humanistic dynamic management model will be constructed, which means equalization management of hospital and patients conform to the biopsychosocial medical model, psychological diathesis and mental health training to the medical staff and patients that reflecting humanities concerns, and the incorporation of the positive and efficient microcosmic warning and intervening system into the hospital daily activity and workflow.

英文关键词： doctor-patient conflict;people oriented;dynamic managment;early warning and intervention