Shayne N T
Med Malpract Cost Containment J. 1979 Apr;1(1):7-26.
Medical malpractice actions are increasing at an alarming rate. Within the past five years, the incidence of such claims has escalated to such an extent that many physicians in hospitals are finding it difficult to obtain insurance. When insurance has been obtained, its cost has approached the prohibitive. To understand what's behind this increase in actions and costs, a review of the law of negligence, the law that most affects medical malpractice, is in order. With such understanding, those most affected financially by the escalation in malpractice costs (notably the health facility and the physician) can consider what preventive procedures can be taken to eliminate a substantial percentage of potential lawsuits. Without taking such preventive action, none of the current methods of confronting malpractice costs--private carriers, co-insurance, group policies, self-insurance, or going bare--will be effective for any period of time in keeping those costs in check.
医疗事故诉讼正以惊人的速度增长。在过去五年中，此类索赔的发生率急剧上升，以至于许多医院的医生发现难以获得保险。即便获得了保险，其费用也高得令人望而却步。为了理解诉讼和费用增加背后的原因，有必要审视一下疏忽法，这是对医疗事故影响最大的法律。有了这样的理解，那些在医疗事故成本上升中受财务影响最大的人（尤其是医疗机构和医生）就可以考虑采取哪些预防措施来消除很大一部分潜在诉讼。如果不采取这种预防措施，目前应对医疗事故成本的任何方法——私人保险公司、共同保险、团体保险、自我保险或不投保——在任何时间段内都无法有效控制这些成本。
