Analysis of Crisis Management of Medical Disputes in China and Australia: A Narrative Review Article

  • Tianlu YIN Department of Social Medicine and Health Management, La Trobe University, Melbourne, Australia
  • Zhaojie LIU Department of Health Management, La Trobe University, Melbourne, Australia
  • Yanli XU Mail Department of Epidemiology, Hebei University of Engineering, Handan, P.R. China
Medical dispute, Crisis management, China, Australia


At present, the increasing trend of medical disputes has become a serious problem in the work of medical institutions, and directly affects the social stability and orderly development of the institutions. We searched the literature on medical disputes and crisis management in China and Australia within PubMed (2010-2019), China Knowledge Network (CNKI, 2010-2019), and Wanfang Data Knowledge Service Platform (2010-2019). There are several drawbacks in the management of hospital medical disputes in China: 1) the knowledge of crisis is unilateral and not systematic; 2) there are too much stereotype thoughts in crisis management; 3) the crisis attribution is too simple; the crisis impact assessment is insufficient. It is worth learning from Australia’s system, including the legal system, relevant non-governmental organizations, and doctor-patient communication. In view of the malpractice existing in China's medical dispute management, Australia's legal system for handling disputes, doctor-patient communication and other aspects are worthy of our reference. In particular, the construction of third-party supervision and mediation institutions and the prevention of doctor-patient disputes should be optimized.


1. Quraishi N, Hammett T, Todd D, et al (2012). Malpractice litigation and the spine: the NHS perspective on 235 suc-cessful claims in England. Eur Spine J, 21 Suppl 2:S196-9.
2. He AJ, Qian J (2016). Explaining medical disputes in Chinese public hospitals: the doctor-patient relationship and its impli-cations for health policy reforms. Health Econ Policy Law, 11: 359-378.
3. Jie L (2012). New generations of Chinese doctors face crisis. Lancet, 379: 1878.
4. Jingang A (2013). Which future for doctors in China? Lancet, 382: 936-937.
5. Xu XR (2018). Study on the jurisprudential basis on the implementation of compul-sory medical liability insurance. Hebei Law Science, 36: 117-129.
6. Jena AB, Seabury S, Lakdawalla D, et al (2011). Malpractice risk according to phy-sician specialty. N Engl J Med, 365: 629-636.
7. Song ZY. Research on Crisis Management of Medi-cal Disputes in Social Transition Period. Shanghai Jiaotong University, 2008.
8. Huang ZQ. Research on crisis management in the face of medical disputes. Beijing University of Technology, 2013.
9. Li ZH, Liu Y, Ni XL (2013). On the im-provement of litigation settlement mech-anism of medical disputes in China. Jour-nal of Chongqing University of Science and Tech-nology: Social Sciences Edition, 2013: 43-45.
10. Wu WQ, Jiang YF, Xu X (2012). Patient communication factor and crisis man-agement in medical disputes. China Medical Herald, 9: 154-155.
11. Chinese increased 7000 medical trouble event in 5 years. 2013. Available at:
12. Jia XL, Zhou HZ, Zhao Y, et al (2014). In-vestigation on hospital violence during 2003 to 2012 in China. Chinese Hospitals, 18: 1-3.
13. Chinese Medical Doctor Association. White Paper on Chinese Physician Practice Sta-tus. Beijing: Chinese Medical Doctor As-sociation, 2015.
14. According to the National Planning Commission statistics: last year there were 70000 medical disputes, medical problem is particularly prominent. 2014.
15. Ye CY, Zhou Y (2016). Communication of medical disputes based on crisis man-agement theory. Hospital Administration Journal of Chinese People's Liberation Army, 23: 513-515.
16. Zhou J X, Xu C (2016). Thinking on the problem of medical disputes in clinical practice. World Latest Medicine Information, 16: 40-41.
17. WANG L, MA YB (2018). Response to medical record management after imple-mentation of the regulations on the pre-vention and handling of medical dis-putes. Chinese Medical Record, 19: 1-3.
18. The Statistical Bulletin of National Health and Family Planning of China in 2013. 2014.
19. Zhu S, Li L, Li Y (2011). China’s criminal penalty for medical malpractice: tooleni-ent or not? Legal Med, 13: 116-9.
20. Zhang J (2016). Research on crisis manage-ment of medical disputes. Clinical Research and Practice, 2016: 118.
21. Zhou XH, Huang SY, Zhang WZ (2012). Encourage patients and their families to participate in the practice of nursing safe-ty management. Journal of Nursing, 19: 32-33.22.
22. Wang SL, Qian Y, Chen XR, et al (2015). Cause analysis on 76 medical disputes in orthopaedic department. Hospital Manage-ment Forum, 32: 23-25.
23. Wang WJ, Zhu LS (2011). Study on the con-struction of crisis management mecha-nism of hospital medical disputes. Modern Business Trade Industry, 23: 246-247.
24. Ni JX, Zhang BZ, Zhu T (2011). Construc-tion of early warning system for medical disputes in China under the new situa-tion. Journal of Nanjing University of Tradi-tional Chinese Medicine: Social Science, 12: 109-110.
25. YIN GX, SUN LH, TANG B, et al (2012). On the significance of crisis management awareness in preventing medical disputes. Medical Journal of National Defending Forces in Southwest China, 22: 318-319.
26. Feng G, Meng WQ, Zhang W, et al (2018). Study on medical disputes settlement of sudden death after operation by crisis public relations system. Hospital Manage-ment Forum, 35(10): 21-23.
27. Hao N (2016). The malpractice of crisis management of hospital medical disputes and the way to improve it. Medical Equip-ment, 29(4): 41-42.
28. Fang Yu Chu (2012). Application and Re-search of the Hospital Medical Dispute Management Information System Based on SOA. Advanced Materials Research, 403.
29. Zhang WY. Game Theory and Information Economics. Shanghai Sanlian Bookstore, 2004.
30. Miȩkisz J (2011). Stochasticity and time de-lays in gene expression and evolutionary game theory. Probabilistic Engineering Me-chanics, 26(1):33-38.
31. Wang SM (2010). Interpretation of the Tort Liability Law of the People's Republic of China. Beijing: China Legal Publishing House, 1.
How to Cite
YIN T, LIU Z, XU Y. Analysis of Crisis Management of Medical Disputes in China and Australia: A Narrative Review Article. Iran J Public Health. 48(12):2116-2123.
Review Article(s)