Peters Philip G
Hulston Hall, School of Law, University of Missouri-Columbia, Columbia, MO 65211, USA.
Clin Orthop Relat Res. 2009 Feb;467(2):352-7. doi: 10.1007/s11999-008-0631-7. Epub 2008 Dec 2.
Two decades of social science research on the outcomes of medical malpractice claims show malpractice outcomes bear a surprisingly good correlation with the quality of care provided to the patient as judged by other physicians. Physicians win 80% to 90% of the jury trials with weak evidence of medical negligence, approximately 70% of the borderline cases, and even 50% of the trials in cases with strong evidence of medical negligence. With only one exception, all of the studies of malpractice settlements also find a correlation between the odds of a settlement payment and the quality of care provided to the plaintiff. Between 80% and 90% of the claims rated as defensible are dropped or dismissed without payment. In addition, the amount paid in settlement drops as the strength of the patient's evidence weakens.
二十年来,社会科学对医疗事故索赔结果的研究表明,医疗事故结果与其他医生判断的患者所接受护理质量之间存在惊人的良好相关性。在医疗过失证据薄弱的陪审团审判中,医生胜诉率为80%至90%;在边缘案件中,胜诉率约为70%;甚至在医疗过失证据确凿的案件审判中,胜诉率也达到了50%。除了一个例外,所有关于医疗事故和解的研究也都发现和解赔付几率与向原告提供的护理质量之间存在相关性。在被评为可辩护的索赔中,80%至90%的索赔被放弃或驳回,无需赔付。此外,随着患者证据力度的减弱,和解赔付金额也会下降。