Holbrook James R
S.J. Quinney College of Law, University of Utah, Salt Lake City, Utah, USA.
Clin Obstet Gynecol. 2008 Dec;51(4):719-30. doi: 10.1097/GRF.0b013e3181899cf9.
Medical errors, unanticipated outcomes, and physician-patient conflicts are going to occur. The traditional tort-based system of adjudicating these as "medical malpractice" in court is inefficient and expensive. Litigation as a kind of faultfinding judicial autopsy actually victimizes both the patient and the physician. Disproportionate transaction costs in litigation reduce motivation and available resources that could otherwise be used for problem solving. Instead, physicians and patients can use negotiation and mediation to resolve conflicts, and employ arbitration to adjudicate their disputes if they are unsuccessful.
医疗差错、意外后果以及医患冲突将会发生。传统的基于侵权行为在法庭上将这些判定为“医疗事故”的制度效率低下且成本高昂。诉讼作为一种查找过错的司法剖析,实际上对患者和医生都造成了伤害。诉讼中不成比例的交易成本降低了原本可用于解决问题的积极性和可用资源。相反,医生和患者可以通过协商和调解来解决冲突,如果不成功,可以采用仲裁来裁决他们的纠纷。