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[在违反提供责任医疗要求的情况下申请起诉]

[Petitioning for prosecution in the event of violation of the requirement to provide responsible health care].

作者信息

Molven Olav, Svenningsen Camilla

机构信息

Diakonhjemmet Høgskole ogStatens helsetilsyn, Norway.

出版信息

Tidsskr Nor Laegeforen. 2012 Feb 7;132(3):316-20. doi: 10.4045/tidsskr.11.1513.

Abstract

BACKGROUND

The Norwegian Board of Health Supervision can petition for prosecution of health care personnel or facilities. The purpose of the survey is to find out what circumstances will prompt the Norwegian Board of Health Supervision to petition for prosecution of doctors and/or facilities for violation of the requirement of responsible conduct, how often this happens and what the outcome is.

MATERIAL AND METHOD

Petitions for prosecution in the period 1 February 2002 - 31 October 2008 were reviewed. The data stem mainly from two databases containing about 11 500 cases brought before the Norwegian Board of Health Supervision.

RESULTS

During the period, the Boards of Health Supervision at county level petitioned for prosecution in some 7,700 cases where doctors and/or facilities had failed to provide responsible health care. Unsound professional practice was found in about 2400 cases. The Board of Health Supervision petitioned for 19 prosecutions in 16 cases (0.7 %), in 9 of them against doctors and in 10 against facilities. Of the cases against doctors, four ended with fines, four were dismissed and in one a ruling has not yet been handed down. Eight facilities were fined, while the cases against two of them were dismissed. The number of petitions for prosecution has shown a declining tendency during the period.

INTERPRETATION

The initiation of criminal proceedings against doctors and facilities is relegated by the Norwegian Board of Health Supervision to a minor position among its supervisory activities.

摘要

背景

挪威卫生监督局可申请对医护人员或医疗机构提起诉讼。该调查的目的是找出哪些情况会促使挪威卫生监督局就医生和/或医疗机构违反责任行为要求一事申请提起诉讼,这种情况发生的频率以及结果如何。

材料与方法

对2002年2月1日至2008年10月31日期间的起诉申请进行了审查。数据主要来源于两个数据库,其中包含提交给挪威卫生监督局的约11500起案件。

结果

在此期间,县级卫生监督局就约7700起医生和/或医疗机构未能提供负责任医疗服务的案件申请提起诉讼。在约2400起案件中发现了不当专业行为。卫生监督局在16起案件中申请了19次起诉(0.7%),其中9起针对医生,10起针对医疗机构。在针对医生的案件中,四起以罚款告终,四起被驳回,一起尚未作出裁决。八家医疗机构被罚款,其中两起案件被驳回。在此期间,起诉申请数量呈下降趋势。

解读

挪威卫生监督局将对医生和医疗机构提起刑事诉讼置于其监督活动中的次要地位。

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