Evidence map›Paper›PMID 38664671›Full record

ArticleBMC health services research2024

Risk management and empirical study of the doctor-patient relationship: based on 1790 litigation cases of medical damage liability disputes in China.

Hui Li, Limin Li, Tong Liu, Meiqiong Tan, Wanwan He, Yuzhu Luo, Xuerong Zhong, Liping Zhang, Jiangjie Sun

Abstract read
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hui LiSchool of Health Care Management, Anhui Medical University, 230032, Hefei, China.
Limin LiSchool of Health Care Management, Anhui Medical University, 230032, Hefei, China.
Tong LiuSchool of Health Care Management, Anhui Medical University, 230032, Hefei, China.
Meiqiong TanThe Second Clinical Medical College, Anhui Medical University, 230032, Hefei, China.
Wanwan HeThe Second Clinical Medical College, Anhui Medical University, 230032, Hefei, China.
Yuzhu LuoThe Second Clinical Medical College, Anhui Medical University, 230032, Hefei, China.
Xuerong ZhongThe Second Clinical Medical College, Anhui Medical University, 230032, Hefei, China.
Liping ZhangSchool of Marxism, Anhui Medical University, 230032, Hefei, China. Zhangliping@ahmu.edu.cn.
Jiangjie SunSchool of Health Care Management, Anhui Medical University, 230032, Hefei, China. sunjiangjie@ahmu.edu.cn.

Funding

School-level offline courses No.2021xjkc13the National Natural Science Foundation of China No.72374005the Natural Science Foundation for the Higher Education Institutions of Anhui Province of China No. 2023AH050561, No.2022AH051143, No. KJ2021A0266, and No. KJ2021A1228the NSF Center for Basic Science Project No.72188101the Open Program of Hospital Management Institute, Anhui Medical University 2023gykj09
6 · The paper itself

Abstract

backgroundCompensation for medical damage liability disputes (CMDLD) seriously hinders the healthy development of hospitals and undermines the harmony of the doctor-patient relationships (DPR). Risk management in the DPR has become an urgent issue of the day. The study aims to provide a comprehensive description of CMDLD in China and explore its influencing factors, and make corresponding recommendations for the management of risks in the DPR.

methodsThis study extracted data from the China Judgment Online - the official judicial search website with the most comprehensive coverage. Statistical analysis of 1,790 litigation cases of medical damage liability disputes (COMDLD) available from 2015 to 2021.

resultsCOMDLD generally tended to increase with the year and was unevenly distributed by regions; the compensation rate was 52.46%, the median compensation was 134,900 yuan and the maximum was 2,234,666 yuan; the results of the single factor analysis showed that there were statistically significant differences between the compensation for different years, regions, treatment attributes, and trial procedures (P < 0.05); the correlation analysis showed that types of hospitals were significantly negatively associated with regions (R=-0.082, P < 0.05); trial procedures were significantly negatively correlated with years (R=-0.484, P < 0.001); compensat- ion was significantly positively correlated with years, regions, and treatment attributes (R = 0.098-0.294, P < 0.001) and negatively correlated with trial procedures (R=-0.090, P < 0.01); regression analysis showed that years, treatment attributes, and regions were the main factors affecting the CMDLD (P < 0.05).

conclusionsYears, regions, treatment attributes, and trial procedures affect the outcome of CMDLD. This paper further puts forward relevant suggestions and countermeasures for the governance of doctor-patient risks based on the empirical results. Including rational allocation of medical resources to narrow the differences between regions; promoting the expansion and sinking of high-quality resources to improve the level of medical services in hospitals at all levels; and developing a third-party negotiation mechanism for medical disputes to reduce the cost of medical litigation.

Indexed as

Liability, LegalMalpracticePhysician-Patient RelationsRisk ManagementChinaCompensation and RedressDissent and DisputesEmpirical ResearchHumansCompensationDoctor-patient relationshipEmpirical analysisLiability disputesMedical damageRisk management

Identifiers

PMID38664671
PMCPMC11044444

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.