医療ミスによる代替医療の影響
D M Studdert1, D M Eisenberg, F H Miller
1Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass, USA.
JAMA
|November 20, 1998
まとめ
カイロプラクターや治療師などの代替医療従事者に対する不正診療の申し立ては,医師に対する申し立てよりも少なく,より深刻でした. この研究は,代替医療の紹介を規制する法的原則についての洞察を提供します.
科学分野:
- 法医学は法医学である.
- 代替・補完医学は,代替・補完医療として用いられる.
- 医療ミス 医療ミス 医療ミス
背景:
- 米国では代替療法の使用が増加しています.
- 代替医療従事者が関与する不正診療の請求に関する理解は限られている.
- 従来の医療と代替医療の関係を規定する法的原則は明確に定義されていない.
研究 の 目的:
- 代替医療の実践者の不正診療請求の経験を分析する.
- 代替治療のための医師の紹介に関連する法的原則を検証する.
- 医療従事者に,患者を代替医療に勧める場合の潜在的責任について知らせる.
主な方法:
- カイロプラクティス,マッサージセラピスト,治療師 (1990年-1996年) の保険会社からの誤診請求データに関する分析.
- 代替医療と誤診に関する関連する法的原則と判例の検討.
- 医療従事者と比べて,代替医療従事者に対する請求の頻度と重度の評価.
主要な成果:
- カイロプラクター,マッサージセラピスト,治療師に対する請求は,医師に対する請求よりも少ない頻度で発生しました.
- 代替医療従事者が関与する不正診療の請求は,通常,医師の請求と比較して,より軽度の怪我を伴う.
- 患者の代替医療への紹介に対する医師の責任は,特定の状況下で可能である.
結論:
- 研究結果は,医師と比較して,代替医療従事者の医療ミスリスクが低いことを示唆しています.
- 医師は,患者を代替医療に紹介する際の潜在的な責任に注意する必要があります.
- この進化する分野における実践と政策を導くために,法的原則のさらなる検討が必要である.
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