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    3.1.3  Losing credibility from the public  For years medical institutes¬ð credibility from the public is losing minor error can lead to complaints because of the preoccupied view of the patients.And many medical malpractice exposed on the media the public eyed on the issues of faulty medical treatment.The concern and supervision by public opinion should be played a role in improving the quality of medical service.But some reports on the media deviate from the facts for deficiency of medical knowledge or the determination has not been identify by the organ for management of medical conflicts in the early stage of issue.In this case public opinion provoked and social hot spot shaped hospital in an awkward situation. When the news workers report or evaluate the issues against objective in the case of medical knowledge deficiency or lacking medical details they evoke a resounding response.

    3.1.4  Be difficult to understand medical system in patients  With strengthening economic sense of the patients a bundle of conflicts occurred because of medical costs.The medical costs is the reflection of social economic transformation in the medical market.The nurses are responsible to booking and pressing patients for payment the conflicts often occur between nurses and patients first.And the increased costs out of the patients¬ð burden with the importation of high technology or application of new drugs.If  the payment items filled in error patients may misunderstand.In this study the complains for medical costs was 22.39% 91.7% was patients pay themselves.And 2 cases resulted in misunderstanding visit rule of the hospital.

    3.2  Management fault

    3.2.1  Legal system deficiency or enforcement lag  Currently only one regulation for management of nurses in Chi

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