医疗事故危机与改革。

Malpractice crisis and reform.

作者信息

Bovbjerg Randall R

机构信息

The Urban Institute, 2100 M Street, NW, Washington, DC 20037, USA.

出版信息

Clin Perinatol. 2005 Mar;32(1):203-33, viii-ix. doi: 10.1016/j.clp.2004.11.003.

DOI:10.1016/j.clp.2004.11.003

PMID:15777830

Abstract

Medical liability coverage has become increasingly expensive and scarce since 2001, especially for obstetrics and other high-risk specialties. Physicians, whose own fees are constrained, see this as a crisis needing tort reform to cap payouts. Plaintiffs' lawyers fight caps; they blame insurance trends and call for stronger regulation of insurers and physicians. Doctors' arguments are somewhat better than lawyers' about insurance developments, but the huge tort reform battle wholly ignores the biggest problems--the medical system has too many preventable medical injuries, and the legal system fails to prevent them. It is time to try out better approaches, three of which are discussed in this paper.

摘要

自2001年以来，医疗责任保险的费用越来越高，而且越来越难获得，尤其是在产科和其他高风险专业领域。医生们自己的收费受到限制，他们将此视为一场危机，需要进行侵权法改革以限制赔付金额。原告律师反对限制赔付金额；他们将此归咎于保险趋势，并呼吁加强对保险公司和医生的监管。在保险发展问题上，医生们的观点比律师们的观点略胜一筹，但这场巨大的侵权法改革斗争完全忽略了最大的问题——医疗系统存在太多可预防的医疗伤害，而法律系统未能预防这些伤害。是时候尝试更好的方法了，本文将讨论其中三种方法。