医患制度中冲突产生的原因分析

A. Biduchak
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摘要

医疗实践证实,在医疗改革条件下,冲突在任何团队中都占有特殊的地位。这是因为冲突是生活中不可分割的一部分。因此,有必要深入研究现代组织冲突的形成方式、消除冲突的途径和对抗冲突后果的途径。同时,有效的企业冲突管理最重要的结果将是形成冲突态势预警机制和医疗冲突解决机制。该研究的目的是在«医患»系统卫生保健领域的冲突。材料和方法。团队冲突的研究采用了医学和社会学的方法,使用了我们开发的匿名问卷。这项研究涉及582名卫生工作者,其中包括231名男性和351名女性。医务人员年龄构成:18岁以上。结果和讨论。开展了一项研究,旨在以医务人员为例,确定保健组织中冲突的社会心理原因和解决冲突的方法。分析了医疗队冲突的主要原因、发生频率和类型。根据所进行的社会学研究,确定了最大数量的冲突(32.1%)发生在“医患亲属”系统中,约25%发生在“医患”系统中。通过实例分析了冲突中医务人员的行为。调查发现,大多数(34%)的受访者不干预冲突,采取中立立场。本研究证实了一个假设,即当医疗机构整体流程组织的情况发生变化时,冲突管理过程将更加有效。医疗冲突的诊断和管理应该是医疗机构成功运作的关键,这要归功于为医疗团队和患者创造一种工作氛围,在这种氛围中,每个人都感到舒适,并为最大的结果而努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of the emergence of conflicts in the doctor-patient system
Medical practice confirms that in the conditions of health care reform, conflict occupies a special place in any team. This is because conflict is an integral part of life. Therefore, it is necessary to study in depth the way of formation of modern organizational conflict, the way of eliminating the conflict and the way of fighting its consequences. At the same time, the most important result of effective enterprise conflict management will be the formation of a mechanism for early warning of conflict situations and mechanisms for resolving medical conflicts.The purpose of the study was conflicts in the field of health care in the «doctor-patient» system. Materials and methods. The study of conflict in the team was conducted using medical and sociological methods using an anonymous questionnaire developed by us. The study involved 582 health workers, including 231 men and 351 women. The age composition of medical workers: from 18 and older.Results and discussion. A study was conducted aimed at identifying the socio-psychological causes of conflicts and methods of their resolution in the health care organization using the example of medical personnel. The main causes, frequency of occurrence and types of conflict situations in medical teams are analyzed. Based on the conducted sociological research, it was established that the largest number of conflicts (32.1%) occurs in the «doctor-patient relatives» system, and about 25% - in the «doctor-patient» system. The behavior of medical personnel during the conflict was analyzed using practical examples. It was found that the majority (34%) of respondents do not intervene in the conflict and take a neutral position.Conclusions. The study confirmed the hypothesis that the process of conflict management will be more effective when the situation in the organization of processes as a whole in a medical institution changes. Diagnosis and management of a medical conflict should be the key to the successful operation of a medical institution, thanks to the creation of a working atmosphere for the medical team and the patient, where everyone will feel comfortable and work for maximum results.
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