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当今的管理式医疗责任:法律、案例、理论及当前问题。

Managed care liability today: laws, cases, theories, and current issues.

作者信息

Trueman D L

机构信息

Columbia University Law School, USA.

出版信息

J Health Law. 2000 Spring;33(2):191-262.

PMID:11010445
Abstract

Managed care entities face numerous liability issues in today's changing healthcare environment. This Article provides the plaintiff with a comprehensive road map for navigating the many avenues of managed care liability. The author describes ERISA pre-emption provisions and suggests ways plaintiffs' attorneys can strive to narrow the pre-emption. The Article also provides in-depth analysis of each theory of managed care liability that has been litigated against managed care entities to date, and then goes on to explore state laws imposing liability on managed care entities, and how HMO liability is being reformed through legislative action. For plaintiffs' attorneys seeking the full spectrum of theories of managed care liability, or for defendants' attorneys wanting to remain updated on all potential claims to defend, this Article constitutes an extensive primer on the current issues.

摘要

在当今不断变化的医疗环境中,管理式医疗实体面临着众多责任问题。本文为原告提供了一份全面的路线图,以指引其在管理式医疗责任的众多途径中前行。作者描述了《雇员退休收入保障法》的优先适用条款,并提出了原告律师可以努力缩小优先适用范围的方法。本文还深入分析了迄今为止针对管理式医疗实体提起诉讼的每种管理式医疗责任理论,接着探讨了对管理式医疗实体施加责任的州法律,以及健康维护组织的责任是如何通过立法行动进行改革的。对于寻求全面了解管理式医疗责任理论的原告律师,或者对于希望随时了解所有潜在抗辩主张的被告律师而言,本文构成了关于当前问题的详尽入门指南。

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