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[1]李永斌汪文新石慧.第三方见证在医患沟通中的应用机制及其防范医疗纠纷的价值研究[J].中国卫生质量管理,2026,33(2):17-22.[doi:10.13912/j.cnki.chqm.2026.33.2.04]
　LI Yongbin,WANG Wenxin,SHI Hui.Research on the Application Mechanism of Third-Party Witnessing in Doctor-Patient Communication and Its Value in Preventing Medical Disputes[J].Chinese Health Quality Management,2026,33(2):17-22.[doi:10.13912/j.cnki.chqm.2026.33.2.04]

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第三方见证在医患沟通中的应用机制及其防范医疗纠纷的价值研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年2期页码: 17-22 栏目: 特别关注出版日期: 2026-02-15

Title:: Research on the Application Mechanism of Third-Party Witnessing in Doctor-Patient Communication and Its Value in Preventing Medical Disputes

作者:: 李永斌汪文新石慧; 中国医院协会

Author(s):: LI Yongbin; WANG Wenxin; SHI Hui; Chinese Hospital Association

关键词:: 第三方见证; 医患沟通; 医疗纠纷; 风险共担; 医患关系

Keywords:: Third-Party Witnessing; Doctor-Patient Communication; Medical Disputes; Shared Medical Risk; Doctor-Patient Relationship

分类号:: R197.323

DOI:: 10.13912/j.cnki.chqm.2026.33.2.04

文献标志码:: A

摘要:: 第三方见证能够促进医患有效沟通，防范医疗纠纷发生。为深入探讨第三方见证的应用机制，构建“三维整合”第三方见证模型。该模型通过整合医学、法律、信息技术，基于风险复杂度与患者特征划分高、中、低三级适用范围，对应全面型、核心型、简化型三类见证策略。该模型采取多触发启动模式，形成适用多种风险等级的闭环管理流程，使第三方见证成为促进医疗风险共担、优化医患沟通、规范医疗行为和提供纠纷解决方法的客观依据。针对实施中可能面临的法律规范缺失、人才不足、技术支撑薄弱等挑战，提出建立多层次法律规范体系，培养医法融合人才，构建智能化信息平台，分类分级个性化实施等策略，以促进第三方见证在医患沟通中的科学应用。

Abstract:: Third-party witnessing can facilitate effective communication between doctors and patients and prevent the occurrence of medical disputes. To delve into the application mechanism of third-party witnessing, a "three-dimensional integration" third-party witnessing model is constructed. This model integrates medicine, law, and information technology, categorizing its applicability into high, medium, and low levels based on risk complexity and patient characteristics, corresponding to comprehensive, core, and simplified witnessing strategies, respectively. The model adopts a multi-trigger activation mode, forming a closed-loop management process suitable for various risk levels, enabling third-party witnessing to serve as an objective basis for promoting shared medical risk, optimizing doctor-patient communication, regulating medical practices, and providing dispute resolution methods. In response to potential challenges such as the lack of legal norms, insufficient talent, and weak technological support during implementation, strategies are proposed, including establishing a multi-tiered legal norm system, cultivating talent with integrated medical and legal expertise, constructing an intelligent information platform, and implementing personalized strategies based on classification and grading, to promote the scientific application of third-party witnessing in doctor-patient communication.

参考文献/References:

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更新日期/Last Update: 2026-02-15