Chauhan Suneet P, Chauhan Vidya B, Cowan Bryan D, Hendrix Nancy W, Magann Everett F, Morrison John C
Spartanburg Regional Medical Center, SC, USA.
Am J Obstet Gynecol. 2005 Jun;192(6):1820-6; discussion 1826-8. doi: 10.1016/j.ajog.2004.12.058.
The purpose of this study was to survey members of the Central Association of Obstetricians and Gynecologists about professional liability claims.
A survey was mailed to Central Association of Obstetricians and Gynecologists members regarding medical liability experience.
Of the 897 surveys mailed, 73% were completed. The responding 658 clinicians had been in practice for 17,136 years and had 1507 closed claims. The respondents had a claim every 11 years of practice and a trial every 69 years. Matched for years of practice, a case control comparison indicated that the litigation is significantly lower for female physicians (1.5 +/- 1.8) than for male physicians (2.2 +/- 2.0; P = .019) although the mean cases that were dropped or dismissed were higher for men (1.3 +/- 1.7 vs 0.8 +/- 1.4; P = .022). However, the mean number of trials, defense trial verdicts, and the settlement amounts were similar for both genders.
We found that professional liability claims are uncommon and that the gender of the obstetrician-gynecologist influences the litigation profile.
本研究旨在就医疗责任索赔情况对美国妇产科医师协会会员展开调查。
向美国妇产科医师协会会员邮寄了一份关于医疗责任经历的调查问卷。
在邮寄的897份调查问卷中，73%的问卷被填答。658位回复的临床医生从业年限总计17136年，共有1507起已结案的索赔。受访者每执业11年有一起索赔，每69年有一次庭审。在从业年限匹配的情况下，病例对照比较表明，女性医生的诉讼发生率（1.5±1.8）显著低于男性医生（2.2±2.0；P = 0.019），尽管男性被撤销或驳回的平均案件数更高（1.3±1.7对0.8±1.4；P = 0.022）。然而，两性的平均庭审次数、辩护性庭审裁决以及和解金额相似。
我们发现医疗责任索赔并不常见，并且妇产科医生的性别会影响诉讼情况。
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