Department of Psychiatry, Columbia University, New York, NY, USA.
Psychiatr Serv. 2011 Jan;62(1):6-8. doi: 10.1176/ps.62.1.pss6201_0006.
Previous efforts to change the U.S. medical malpractice system have involved such initiatives as time limits on filing claims, caps on noneconomic damages, and limiting attorneys' fees. This column briefly reviews such past efforts and describes several new approaches. They include programs that encourage prompt disclosure of errors and offers of compensation, efforts to mediate complaints outside the courts, and use of administrative processes to adjudicate claims. "No-fault" systems, such as those in New Zealand, Sweden, and Denmark, may be most likely to satisfy the interests of both patients and physicians but may not be politically acceptable in the United States.
先前为改变美国医疗事故法律制度所做的努力包括提出诉讼的时限、非经济损失赔偿上限以及限制律师费等措施。本专栏简要回顾了这些过往的努力，并描述了一些新方法。这些方法包括鼓励及时披露错误和提供赔偿的方案、在法庭外调解投诉的努力，以及利用行政程序裁决索赔的做法。“无过错”制度，如新西兰、瑞典和丹麦的制度，可能最能满足患者和医生双方的利益，但在美国可能不被接受。
