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医疗事故诉讼中的机会丧失:扩大医疗专业人员的责任与为受损者伸张正义

Loss of a chance in medical malpractice litigation: expanding liability of health professionals versus providing justice to those who have lost.

作者信息

Meldrum M A

机构信息

MurphySchmidt Solicitors, Level 23, 123 Eagle St, Brisbane, Qld. 4000, Australia.

出版信息

J Law Med. 2001 Nov;9(2):200-14.

Abstract

The loss of a chance doctrine in medical malpractice litigation is essentially based on the perceived unfairness of denying recovery to a patient when a health provider's malpractice has reduced the patient's chance of a better outcome. It is the thesis of the article that loss of a chance must the recognised at law, notwithstanding that the chance is less than even or not subject to the benefit of statistical and/or scientific proof and that each lost chance should be assessed according to the value of that chance. Varying approaches to allocating value to the chance lost are examined both historically and internationally. The author contends that the policy arguments--which include potential for increased medical malpractice litigation, tainted reputations and an increase in professional indemnity policies--are insignificant when compared to the value and quality of human life and therefore cannot be supported.

摘要

医疗事故诉讼中的机会丧失原则,本质上是基于这样一种认知:当医疗服务提供者的不当行为降低了患者获得更好治疗结果的可能性时,拒绝给予患者赔偿是不公平的。本文的论点是,机会丧失在法律上必须得到认可,尽管这种机会小于均等机会,或者无法获得统计和/或科学证据的支持,而且每个丧失的机会都应根据该机会的价值进行评估。本文从历史和国际角度审视了为丧失的机会分配价值的不同方法。作者认为,与人类生命的价值和质量相比,包括医疗事故诉讼增加的可能性、声誉受损以及职业赔偿保险政策增加等在内的政策论据微不足道,因此不能成立。

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