Ignagni Karen
American Association of Health Plans, Washington, DC, USA.
Front Health Serv Manage. 2003 Fall;20(1):3-14.
Americans do not have to put up with a dysfunctional medical malpractice liability system that raises costs, lowers quality, limits access, and erodes trust. The key is to offer something better: a systematic approach that brings runaway malpractice costs under control while at the same time protecting patients and improving the quality of care that they can expect to receive. We are coming to recognize that we really cannot sue our way to better healthcare. If the nation's goal is to stretch our finite healthcare dollars by improving the transparency, accountability, and overall effectiveness of the healthcare system, malpractice liability reform clearly has to be part of the foundation on which we build in the years ahead.
美国人不必忍受一个功能失调的医疗事故责任制度，该制度会提高成本、降低质量、限制就医机会并侵蚀信任。关键在于提供更好的方案：一种系统性的方法，既能控制失控的医疗事故成本，同时又能保护患者并提高他们所能期望获得的医疗质量。我们逐渐认识到，靠诉讼并不能实现更好的医疗保健。如果国家的目标是通过提高医疗保健系统的透明度、问责制和整体效率来充分利用有限的医疗资金，那么医疗事故责任改革显然必须成为我们未来几年建设的基础的一部分。
