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首页> 外文期刊>Japan Medical Association journal: JMAJ >Status of Medical Disputes in Hospitals in Tokyo Prefecture, Japan, and the Role of Medical Safety Support Centers in Resolving Disputes: Primary survey
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Status of Medical Disputes in Hospitals in Tokyo Prefecture, Japan, and the Role of Medical Safety Support Centers in Resolving Disputes: Primary survey

机译：日本东京都医院医疗纠纷的状况以及医疗安全支持中心在解决纠纷中的作用：初步调查

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Purpose Medical Safety Support Centers are organizations established by prefectures and other bodies to handle citizens' complaints about medical practice and related issues. The Tokyo Medical Safety Support Center (hereinafter cited as the Center) conducted a survey of hospitals in Tokyo Prefecture as a step to consider how the Center should be operated as an organization trusted by both citizens and medical institutions.Methods Among the hospitals in Tokyo, the survey targeted 344 members of Tokyo Metropolitan Hospitals Association. A questionnaire asking about the past records of patient relations service and the opinions toward the Center was sent to each target hospital.Results Responses were obtained form 210 hospitals (recovery rate: 61.0%). In Fiscal Year 2006, they experienced at least 2,674 cases of physical violence, 273 cases of resignation of personnel due to violence or similar reasons, 727 cases of refused medical fee payments by patients who filed complaints, and 175 lawsuits. The numbers of these incidents were correlated with the number of complaints. Although the expectations towards the Center were high (67.3%), the data also suggested disappointments of the hospitals that have actually used the Center's services. Additionally, the data indicated that lawsuits were undermining the relationship between hospitals and administrative bodies.Conclusion The results suggest that early intervention in complaint cases may prevent and reduce lawsuits and other problems over medical practice. The Center should nurture human resources with expertise in order to meet the needs of both citizens and medical institutions through actions.
机译：目的医疗安全支持中心是由县和其他机构建立的组织，用于处理公民对医疗实践和相关问题的投诉。东京医疗安全支持中心（以下简称“中心”）对东京都的医院进行了调查，以考虑该中心如何作为市民和医疗机构都信任的组织来运作。在东京的医院中，该调查针对的是东京都医院协会的344名成员。向每个目标医院发送了一份询问患者关系服务的过去记录和对中心的意见的调查表。结果从210家医院中获得了答复（回收率：61.0％）。在2006财年，他们经历了至少2674起人身暴力案件，273起因暴力或类似原因辞职的案例，727起投诉患者拒绝支付医疗费的案件以及175起诉讼。这些事件的数量与投诉数量相关。尽管对中心的期望很高（67.3％），但数据也表明实际使用中心服务的医院令人失望。此外，数据表明诉讼正在破坏医院与行政机构之间的关系。结论结果表明，早期干预投诉案件可以预防和减少诉讼以及医疗实践中的其他问题。中心应通过专业知识来培养人力资源，以通过行动满足公民和医疗机构的需求。

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