Conklin Laurie S, Bernstein Catherine, Bartholomew Lori, Oliva-Hemker Maria
Division of Pediatric Gastroenterology and Nutrition, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Clin Gastroenterol Hepatol. 2008 Jun;6(6):677-81. doi: 10.1016/j.cgh.2008.02.047. Epub 2008 May 5.
BACKGROUND & AIMS: Gastroenterologists commonly perceive themselves to be at increased legal risk because they perform invasive procedures. However, there is little published information about gastroenterology (GI) malpractice claims. The goal of this study was to evaluate available malpractice claim data within GI.
This study was a database analysis of GI claims submitted by insurance companies to the Physician Insurers Association of America Data Sharing Project from January 1, 1985, to December 31, 2005. Another analysis from 2005 compared GI claims with other subspecialties.
Sixty-six percent of physicians involved in claims had previous claims experience. The most common reasons for claims were errors in diagnosis (28%) and improper performance of a procedure (25%). Seventy-two percent of reported closed claims were settled out of court. Of 12,367 total claims in 2005, only 233 (1.8%) were within GI. GI ranked below other procedurally based subspecialties in numbers of claims per physician.
GI does not rank highly among subspecialties in malpractice claims and only a minority of claims are procedure-related. Physicians with claims experience are likely to have further claims against them and should consider evaluating their practices.
胃肠病学家普遍认为，由于他们实施侵入性操作，自身面临的法律风险更高。然而，关于胃肠病学（GI）医疗事故索赔的公开信息很少。本研究的目的是评估GI领域现有的医疗事故索赔数据。
本研究是对1985年1月1日至2005年12月31日期间保险公司提交给美国医师保险协会数据共享项目的GI索赔进行的数据库分析。2005年的另一项分析将GI索赔与其他亚专业进行了比较。
涉及索赔的医生中有66%曾有过索赔经历。索赔的最常见原因是诊断错误（28%）和操作不当（25%）。报告的已结案索赔中有72%是庭外和解的。在2005年总共12367起索赔中，只有233起（1.8%）属于GI领域。在每位医生的索赔数量方面，GI领域低于其他基于操作的亚专业。
在医疗事故索赔方面，GI领域在各亚专业中排名不高，且只有少数索赔与操作相关。有索赔经历的医生很可能会面临更多索赔，应考虑评估自己的医疗行为。
