From The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Medical Institution, Baltimore, Maryland.
AJNR Am J Neuroradiol. 2014 Apr;35(4):638-43. doi: 10.3174/ajnr.A3730. Epub 2013 Dec 12.
The concern over medicolegal liability is pervasive among physicians. We sought, through an email survey to the members of the ASNR, to assess the experience with and attitudes about the medicolegal environment among neuroradiologists. Of 4357 physicians surveyed, 904 answered at least 1 of the questions in the survey; 449 of 904 (49.7%) had been sued: 180 (44.9%) had been sued once, 114 (28.4%) twice, 60 (15.0%) 3 times, and 47 (11.7%) more than 3 times. The payouts for suits were most commonly in the $50,000 to $150,000 range, except for interventional neuroradiologists, in whom the most common value was $600,000 to $1,200,000. Only 9 of 481 (1.9%) of suits returned a plaintiff verdict. Despite reported outcomes that favored physicians with respect to cases being dropped (270/481 = 56.1%), settled without a payment (11/481 = 2.3%), or a defense verdict (46/481 = 9.6), most respondents (81.1%, 647/798) believed that the medicolegal system was weighted toward plaintiffs. More than half of the neuroradiologists (55.2%, 435/787) reported being mildly to moderately concerned, and 19.1% (150/787) were very or extremely concerned about being sued.
医生普遍对医疗法律责任感到担忧。我们通过向 ASNR 成员发送电子邮件调查，评估神经放射学家在医疗法律环境方面的经验和态度。在接受调查的 4357 名医生中，有 904 名至少回答了调查中的 1 个问题；449 名受访者（49.7%）曾被起诉：180 名（44.9%）被起诉 1 次，114 名（28.4%）被起诉 2 次，60 名（15.0%）被起诉 3 次，47 名（11.7%）被起诉超过 3 次。诉讼赔偿金最常见的范围是 5 万至 15 万美元，介入神经放射学家除外，他们最常见的赔偿金是 60 万至 120 万美元。在 481 起案件中，只有 9 起（1.9%）原告胜诉。尽管报告的结果对医生有利，包括案件被撤销（270/481=56.1%）、未经支付和解（11/481=2.3%）或辩护裁决（46/481=9.6%），但大多数受访者（798 名中的 81.1%，647/798）认为医疗法律体系对原告有利。超过一半的神经放射学家（787 名中的 55.2%，435/787）表示轻度到中度担忧，19.1%（787 名中的 150/787）表示非常或极其担心被起诉。
