医疗责任气候和改革前景
Michelle M Mello1, David M Studdert1, Allen Kachalia2
1Stanford Law School, Stanford, California2Stanford University School of Medicine, Stanford, California.
JAMA
|October 31, 2014
概括
近年来,医疗失误索赔和费用大幅下降. 解决医疗伤害的替代方法有望改善获得赔偿的机会并降低系统成本.
科学领域:
- 医疗法 法律 医疗法
- 卫生政策 卫生政策
- 扭曲改革是什么意思
背景情况:
- 医生们面临着关于医疗失误诉讼的重大担忧.
- 传统的侵权改革,如损害上限,在联邦层面取得了有限的成功.
- 正在探索针对医疗伤害的替代争议解决方法.
研究的目的:
- 审查医疗责任索赔和费用的国家趋势.
- 讨论有希望的非传统医疗失误改革方法.
- 确定塑造未来医疗责任环境的力量.
主要方法:
- 7-10年内对医疗责任索赔和成本的国家趋势的分析.
- 审查非传统的改革方法:沟通和解决方案,诉讼通知和道歉法律,安全港法律,法官指导的谈判和行政补偿制度.
主要成果:
- 医疗疏忽索赔的支付率大幅下降.
- 补偿支付的固定或下降水平.
- 医疗责任保险成本稳定或下降.
结论:
- 非传统改革为医疗伤害赔偿的高成本和进入障碍提供了潜在的解决方案.
- 最近的趋势显示,支付的索赔和费用有所下降,这表明当前改革的潜在有效性.
- 几个因素将影响医疗责任在未来十年的演变.
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