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山西医疗责任保险被指理赔缓慢 医院院长:怕闹事

2016-06-08 10:47:52   中国新闻网

(原标题:山西医疗责任保险被指理赔缓慢)

毕建忠的父母和子女

中新网太原6月7日电为拓宽医疗纠纷解决途径而被广泛推动的医疗责任保险,在山西却因理赔缓慢而遭到部分患者及医疗机构的质疑。近日,中新网记者多方走访调查,发现因保险公司、经纪公司、被保险人在选择第三方调解机构方面存在争议,医疗纠纷人民调解与医疗责任保险相结合的“山西模式”遭遇发展瓶颈。

拿不到的赔偿金

2012年8月31日凌晨,一辆120救护车呼啸驶入山西省忻州市宁武县人民医院,车上患者是遭遇车祸受伤的毕建忠。不久后,毕建忠经抢救无效死亡。“纠纷产生后,我们向山西省第三方医疗纠纷人民调解委员会报案,随后接受调查和调解。”6月7日,死者毕建忠的家属毕成厚说。

在医患双方的配合下,此次纠纷调解工作进行顺利。经过专家组鉴定,在抢救过程中医院存在处置不当的问题,双方根据相关规定达成12.2万余元的赔偿协议。但让毕成厚想不到的是,时至今日,赔偿款仍然没有拿到。

位于忻州市神池县太平庄乡杨家坡村的毕家几乎可以用家徒四壁来形容。毕成厚介绍,37岁的毕建忠生前是一名厨师,也是家中的顶梁柱。如今毕建忠遭遇变故去世,上有老下有小的毕家失去了主要的经济来源,只能以务农为生。

“毕建忠的父母年迈多病,他去世后还留下了两个十几岁的孩子。如今,孩子们上学都快成了问题。”毕成厚表示。

面对记者,宁武县人民医院院长雷维平承认院方在处置伤者过程中存在过失,并承诺根据相关规定对毕建忠家属进行经济赔偿。雷维平表示,事发当年医院购买了医疗责任保险,根据相关规定及当时达成的协议,这笔经济赔偿应该由保险公司进行赔付。

雷维平坦言,赔偿款没有及时到位让自己感觉很被动。“就害怕死者家属来医院闹事。本来很好的一种制度,其中一项环节出现问题就容易让老百姓产生质疑。”

不止一个“毕建忠”

到底是什么环节出现问题?记者随后赴山西省第三方医调委了解情况,却发现遭遇此种问题的不止毕建忠一家。

山西省第三方医调委副主任张海峰称,接到报案后立即派调解员向医患双方了解情况,并启动责任评估程序。经过医疗专家的鉴定,评定医务人员存在过错,此结果也得到了双方认可。随后,参照国家相关政策和法律规定的赔偿标准核算出金额,再根据金额进行调解。

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