芬兰的产科索赔2012-2022-一项全国性的病人保险登记研究
Jaana Lojander1, Maiju Welling2,3, Anna Axelin1
1Department of Nursing Science, University of Turku, Turku, Finland.
Acta obstetricia et gynecologica Scandinavica
|May 7, 2024
概括
芬兰的产科索赔和赔偿率从2013年至2019年增加,不合格的护理是主要原因. 确定胎儿窒息的原因对于提高产科安全至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 芬兰的孕产妇和婴儿死亡率很低.
- 可预防的产科伤害仍然每年发生.
- 本研究探讨了产科索赔和赔偿趋势.
研究的目的:
- 用于描述向患者保险中心报告的产科索赔.
- 分析补偿率和时间趋势.
- 确定产妇和新生儿受伤的原因和类型.
主要方法:
- 全国范围的,基于登记的妇产科索赔研究 (2012-2022年).
- 分析包括伤害年,赔偿标准,交付方法和伤害类型.
- 使用了描述性统计和物流回归.
主要成果:
- 提出了849个产科索赔;赔偿了26.4%.
- 索赔率:0.15%;赔偿率:0.04% 的出生.
- 低标准的护理 (97.3%) 是主要的补偿标准. 索赔和赔偿率在2013-2019年增加. 运营性交货有更多的索赔. 延迟分娩和手术失败是常见的原因. 烧伤和胎儿/新生儿死亡的赔偿率很高.
结论:
- 观察到产科索赔和赔偿的增加趋势.
- 导致胎儿窒息的低标准护理需要注意提高安全性.
- 需要对操作性交付和索赔进行进一步的研究. 定期进行索赔审查可以增强可预防伤害的数据.
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