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日本医疗事故诉讼的问题:导致患者倾向于避免诉讼的重要因素。

The problems of medical malpractice litigation in Japan: the significant factors responsible for the tendency of patients to avoid litigation.

作者信息

Maeda S, Sakamoto N, Nobutomo K

机构信息

Department of Health Services, Management and Policy, Kyushu University Graduate School of Medicine, Fukuoka, Japan.

出版信息

Leg Med (Tokyo). 2001 Mar;3(1):56-62. doi: 10.1016/s1344-6223(01)00007-4.

Abstract

The present research has demonstrated that the Japanese tendency to avoid medical malpractice litigation can be ascribed to Japan's medical malpractice litigation system, and not the Japanese legal consciousness. From this standpoint, the present research has made clear the specific problem areas of the litigation system by looking at all cases from the last 10 years in the main district courts. The total average time taken for medical malpractice litigation is 3.0 years - much longer than the average time for normal litigation. Furthermore, the average amount of money needed to bring a medical malpractice complaint was 2,200,000 yen, far too much for the patient's family to bear. We have also demonstrated to what extent the amount is inversely related to the patient's age. Naturally, it is possible to bring a case without reliance on a lawyer, but in 90.0% of cases a lawyer was employed, and the success rate of litigants that had not employed a lawyer was 0%. Through the above discussion, we have show the present situation regarding time and costs in medical malpractice litigation, and it is suggested that these are the important reasons why medical malpractice disputants demonstrate a tendency to avoid litigation.

摘要

目前的研究表明,日本人倾向于避免医疗事故诉讼可归因于日本的医疗事故诉讼制度,而非日本的法律意识。从这一角度来看,本研究通过审视主要地方法院过去10年的所有案例,明确了诉讼制度的具体问题领域。医疗事故诉讼的总平均时长为3.0年,远比普通诉讼的平均时长要长。此外,提起医疗事故投诉所需的平均金额为220万日元,对患者家属来说难以承受。我们还证明了该金额与患者年龄在何种程度上呈负相关。当然,不依靠律师也可以提起诉讼,但在90.0%的案例中都会聘请律师,而未聘请律师的诉讼当事人的成功率为0%。通过上述讨论,我们展示了医疗事故诉讼在时间和成本方面的现状,并且表明这些是医疗事故纠纷当事人倾向于避免诉讼的重要原因。

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