医療責任の気候と改革の見通し
Michelle M Mello1, David M Studdert1, Allen Kachalia2
1Stanford Law School, Stanford, California2Stanford University School of Medicine, Stanford, California.
JAMA
|October 31, 2014
まとめ
医療過失の請求と費用は,近年,著しく減少しています. 医療傷害を解決するための代替アプローチは,補償へのアクセスを改善し,システムコストを削減する見込みを示しています.
科学分野:
- 医療法 医療法 医療法について
- 保健政策 保健政策 保健政策
- トート・リフォームは,
背景:
- 医師は,医療ミス訴訟に関する重大な懸念に直面しています.
- 損害上限のような伝統的な損害賠償法改革は,連邦レベルで限られた成功を収めている.
- 医療上の傷害に関する代替紛争解決方法も検討中です.
研究 の 目的:
- 医療責任の請求および費用の国内動向をレビューする.
- 有望な非伝統的な医療不当行為改革アプローチについて議論する.
- 将来の医療責任環境を形作る力を特定する.
主な方法:
- 7年から10年の医療責任の請求および費用の国内動向の分析.
- 非伝統的改革アプローチの見直し: コミュニケーションと解決プログラム,訴訟告知と謝罪法,安全な港の法律,裁判官主導の交渉,行政補償制度.
主要な成果:
- 医療ミス賠償請求の割合が急激に低下した.
- 慰謝料の支払いの固定または減少するレベル.
- 医療責任保険のコストは安定または減少しています.
結論:
- 非伝統的な改革は,医療損害賠償における高いコストとアクセス障壁に対する潜在的な解決策を提供します.
- 最近の傾向は,支払われた請求書と費用の減少を示しており,現在の改革の潜在的効果を示唆しています.
- いくつかの要因が,今後10年間で医療責任の進化に影響を与えるでしょう.
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