替代医学对医疗失误的影响
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
概括
对治疗师和针治疗师等替代医学从业者提出的错误医疗索赔比对医生提出的索赔更少频繁和严重. 这项研究提供了对管理替代医学转诊的法律原则的见解.
科学领域:
- 法律医学 法律医学
- 替代和补充医学 替代和补充医学
- 医疗不当行为 医疗不当行为
背景情况:
- 在美国,替代疗法的使用正在增加.
- 人们对涉及替代医学从业人员的不当行为索赔的理解有限.
- 规范常规和替代医学关系的法律原则尚未明确.
研究的目的:
- 分析替代医学从业者的错误处理索赔经验.
- 检查与转诊医生寻求替代治疗相关的法律原则.
- 告知医生在将患者转诊替代医学时可能面临的责任.
主要方法:
- 从保险公司获得的治疗师,按摩治疗师和针治疗师 (1990-1996) 的医疗错误索赔数据的分析.
- 审查有关替代医学和医疗失误的相关法律原则和判例.
- 与医生相比,对替代实践者提出索赔的频率和严重性的评估.
主要成果:
- 对手术师,按摩治疗师和针治疗师的索赔发生的频率低于对医生的索赔.
- 与医生索赔相比,涉及替代实践者的错误医疗索赔通常涉及不那么严重的伤害.
- 在某些情况下,医生对患者转介到替代医学的责任是可能的.
结论:
- 研究结果表明,与医生相比,替代医学从业者有较低的临床错误风险.
- 医生在将患者推到替代医学时,应该意识到潜在的责任.
- 需要进一步考虑法律原则,以指导在这个不断变化的领域的做法和政策.
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