医療傷害に対する無責任賠償:エラー防止の見通し
1Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115, USA.
JAMA
|July 13, 2001
まとめ
医学的怪我に対する新たな無責任の補償制度は,医師のミスではなく,予防可能な害に焦点を当て,患者の安全目標と整合し,現在の医療ミスコストを超えない場合があります. このアプローチは,医療の誤りに対する制度的説明責任を促進します.
科学分野:
- 保健医療政策について
- 医療法 医療法 医療法について
- 患者の安全性に関する研究
背景:
- 現在の患者安全イニシアチブでは,システムの改善と医療エラーの公開報告を強調しています.
- 既存の医療ミス対策システムは,個人の責任と訴訟に焦点を当てているため,しばしばこれらの安全目標と矛盾しています.
研究 の 目的:
- 伝統的な医療ミス訴訟の代替案を提案し,評価する.
- 患者の安全と説明責任を優先する医療傷害に対する無責任の補償制度を探求する.
主な方法:
- 医療上の傷害に対する無責任賠償モデルの提案の説明.
- 欠陥のないシステムにおけるコストと品質のインセンティブに関する伝統的な批判の分析.
- 費用対効果と品質促進を示唆する経験的研究のプレゼンテーション.
主要な成果:
- 欠陥に基づく訴訟の代替案として,回避可能な怪我に焦点を当てた無欠陥モデルが提案されています.
- 経験的証拠によると,このモデルのコストは,現在の米国の不正処理システム費用を超えることはありません.
- 賠償を患者の安全目標と制度的説明責任と結びつけることで,医療の質を向上させることができます.
結論:
- 医療上の損害に対する法的メカニズムの再検討は,医療ミスに対処するために極めて重要です.
- 予防可能な医療的傷害に対する無責任制度は,訴訟の有望な代替案を提供します.
- 制度的責任に重点を置いたこのようなシステムの実施は,患者の安全と医療の質を向上させることができます.
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