Sager M, Voeks S, Drinka P, Langer E, Grimstad P
Department of Preventive Medicine, University of Wisconsin, Madison.
Arch Intern Med. 1990 May;150(5):1091-3.
We reviewed malpractice data from the state of Wisconsin for 1983 and 1984 to determine the frequency and the outcome of malpractice litigation by the elderly. Research data were obtained from court dockets filed with Wisconsin's Patients Compensation Panel and from 281 attorneys who provided the age for 431 claimants. The results showed that 10.0% of malpractice suits in Wisconsin were filed by the elderly during the study years. When we compared the frequency of litigation with the use of the health care system (number of hospitalizations and inpatient days), the elderly were significantly less likely than younger persons to initiate malpractice litigation despite greater exposure to potential negligence. However, once a malpractice suit was filed, there was no significant difference between older and younger litigants in the disposition of the case or in the likelihood of being the prevailing party when a finding or award was made. These findings suggest that the elderly are less likely to file malpractice claims against health care providers than would be expected given their use of the health care system. This finding may be related to social, economic, and legal barriers to malpractice litigation by older adults.
我们回顾了1983年和1984年威斯康星州的医疗事故数据,以确定老年人医疗事故诉讼的频率和结果。研究数据来自向威斯康星州患者赔偿小组提交的法庭记录,以及281名律师提供的431名索赔人的年龄信息。结果显示,在研究期间,威斯康星州10.0%的医疗事故诉讼是由老年人提起的。当我们将诉讼频率与医疗保健系统的使用情况(住院次数和住院天数)进行比较时,尽管老年人更容易遭受潜在的疏忽,但他们提起医疗事故诉讼的可能性明显低于年轻人。然而,一旦提起医疗事故诉讼,在案件处理或做出裁决或判决时成为胜诉方的可能性方面,老年和年轻诉讼当事人之间没有显著差异。这些发现表明,鉴于老年人对医疗保健系统的使用情况,他们对医疗保健提供者提起医疗事故索赔的可能性低于预期。这一发现可能与老年人进行医疗事故诉讼的社会、经济和法律障碍有关。