【摘要】：醫(yī)療責(zé)任保險在二十世紀(jì)二十年代產(chǎn)生于美國,在其發(fā)展將近百年的時間里,經(jīng)歷了四個階段,分別是沉寂、興起、騰飛以及普保階段。醫(yī)療責(zé)任保險的出現(xiàn)在很大程度上保障了醫(yī)療機(jī)構(gòu)、醫(yī)護(hù)人員以及患者的合法權(quán)益�；颊叩木S權(quán)意識也由于近幾年來我國醫(yī)療行業(yè)改革的不斷發(fā)展,得到了顯著的提高,隨之而來的是醫(yī)療糾紛案件的大幅度上漲。怎樣才能有效緩解醫(yī)患糾紛,降低醫(yī)療責(zé)任帶來的風(fēng)險?這個問題已經(jīng)引起了社會的廣泛關(guān)注。而推行醫(yī)療責(zé)任保險,不僅能夠起到彌補損失和轉(zhuǎn)移風(fēng)險的作用,同時還能保障醫(yī)方和患方的合法權(quán)益,無疑是一種明智的選擇。本文運用理論研究分析法、定量分析法、定性分析法、調(diào)查問卷法和訪談法這幾種方法對甘肅省醫(yī)療責(zé)任保險的運行情況進(jìn)行了研究分析,全文共分為五章。第一章是緒論,主要對論文的研究背景、研究目的和意義、國內(nèi)外文獻(xiàn)綜述、研究的方法進(jìn)行了介紹。第二章是是醫(yī)療責(zé)任保險的概述,主要介紹了醫(yī)療責(zé)任保險的定義和內(nèi)容以及開展醫(yī)療責(zé)任保險的意義。第三章是對甘肅省醫(yī)療責(zé)任保險發(fā)展概況及問題的分析。主要是從甘肅省醫(yī)療責(zé)任保險的參保政策、甘肅省醫(yī)療責(zé)任保險的經(jīng)營模式、甘肅省醫(yī)療責(zé)任保險的理賠狀況以及甘肅省醫(yī)療責(zé)任保險實施過程中的不足等方面進(jìn)行闡述。第四章是甘肅省醫(yī)療責(zé)任保險運行績效評價指標(biāo)體系構(gòu)建及問題分析,主要是通過統(tǒng)計資料分析了解醫(yī)療責(zé)任保險的相關(guān)政策規(guī)定、保險公司的具體推行標(biāo)準(zhǔn)以及通過問卷調(diào)查和知情人訪談的方式了解醫(yī)療機(jī)構(gòu)對于甘肅省現(xiàn)行醫(yī)療責(zé)任保險的認(rèn)知情況。通過對評價指標(biāo)的選取、標(biāo)準(zhǔn)值以及權(quán)重的確定,構(gòu)建了甘肅省醫(yī)療責(zé)任保險運行績效評價體系,然后通過對相關(guān)指標(biāo)數(shù)據(jù)的搜集、整理和簡單的計算得到甘肅省醫(yī)療責(zé)任保險的績效評價結(jié)果。第五章是根據(jù)前文的分析結(jié)果,提出完善甘肅省醫(yī)療責(zé)任保險績效的相關(guān)對策建議。全文通過理論研究和實地調(diào)查訪談相結(jié)合的方式對甘肅省醫(yī)療責(zé)任保險運行現(xiàn)狀進(jìn)行績效評估,總結(jié)出影響甘肅省醫(yī)療責(zé)任保險發(fā)展的因素,得出了甘肅省醫(yī)療責(zé)任保險運行方面存在的問題。針對存在的問題,提出了相關(guān)解決問題的對策建議。
[Abstract]:Medical liability insurance emerged in the United States in the 1920s. In its development period of nearly 100 years, medical liability insurance has gone through four stages, namely, silence, rise, takeoff and general insurance. The emergence of medical liability insurance to a large extent protects the legitimate rights and interests of medical institutions, medical staff and patients. Patients' awareness of safeguarding their rights has also been significantly improved due to the continuous development of medical industry reform in recent years, followed by a large increase in medical disputes. How to effectively alleviate the doctor-patient disputes, reduce the risk of medical responsibility? This problem has already aroused the widespread concern of the society. The implementation of medical liability insurance can not only make up for loss and transfer risk, but also protect the legitimate rights and interests of doctors and patients, which is undoubtedly a wise choice. In this paper, the operation of medical liability insurance in Gansu Province is studied and analyzed by the methods of theoretical analysis, quantitative analysis, qualitative analysis, questionnaire and interview. The full text is divided into five chapters. The first chapter is the introduction, mainly introduces the research background, research purpose and significance, domestic and foreign literature review, research methods. The second chapter is an overview of medical liability insurance, mainly introduces the definition and content of medical liability insurance and the significance of developing medical liability insurance. The third chapter is to Gansu Province medical liability insurance development general situation and the question analysis. Mainly from the Gansu Province medical liability insurance participation policy, Gansu Province medical liability insurance management mode, Gansu Province medical liability insurance claim situation and Gansu Province medical liability insurance implementation process insufficiency and so on aspects carries on the elaboration. The fourth chapter is the performance evaluation index system of Gansu Province medical liability insurance performance evaluation system and problem analysis, mainly through statistical analysis to understand the relevant medical liability insurance policy provisions. The specific implementation standards of insurance companies and through questionnaires and insiders interviews to understand the medical institutions for the current medical liability insurance in Gansu Province. Through the selection of evaluation indicators, standard value and weight of the determination of Gansu Province medical liability insurance performance evaluation system, and then through the collection of relevant index data, Collate and simple calculation to get Gansu Province medical liability insurance performance evaluation results. The fifth chapter is according to the above analysis result, proposed consummates Gansu Province medical liability insurance performance correlation countermeasure suggestion. Through the combination of theoretical research and field investigation, the paper evaluates the performance of medical liability insurance in Gansu Province, and summarizes the factors that affect the development of medical liability insurance in Gansu Province. The problems in the operation of medical liability insurance in Gansu Province are obtained. In view of the existing problems, some countermeasures and suggestions are put forward to solve the problems.
【學(xué)位授予單位】：蘭州財經(jīng)大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：F842.69

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