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意大利罗马为期15年的牙科医疗事故索赔调查。

A 15 years survey for dental malpractice claims in Rome, Italy.

作者信息

Manca R, Bruti V, Napoletano S, Marinelli E

机构信息

Dental Forensic Expert for the Civil Court of Rome, Italy.

Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Italy.

出版信息

J Forensic Leg Med. 2018 Aug;58:74-77. doi: 10.1016/j.jflm.2018.05.005. Epub 2018 May 8.

Abstract

INTRODUCTION

In recent years, dental malpractice claims seems to have increased dramatically worldwide without a clear explanation. The aim of our work is to shed more light on this phenomenon to better understand its magnitude and trend, and to point out possible critical factors that, if changed, can mitigate it.

MATERIAL AND METHOD

458 cases of dental malpractice sentenced by the civil court of Rome, Italy, from 2001 to 2015, were collected. Useful information was extracted, reported in a grid and statistically analyzed. Data was compared between years and overall evaluated.

RESULTS

Multiple information were obtained, among which: the number of dental malpractice claims has decreased in most recent years; Dental professionals are found guilty in 74% of cases; the average compensation granted is 18.820,15 €; only 47,7% of the insured dentist found guilty was fully covered by their insurance.

CONCLUSIONS

Contrary to what we expected, dental malpractice claims in court have decreased in recent years. The limit liability of dental professional insurances is high compared to the average compensation granted and the insurance doesn't always cover all the expenses for the presence of peculiar clauses in the contract.

摘要

引言

近年来,牙科医疗事故索赔在全球范围内似乎急剧增加,原因却并不明确。我们开展这项工作的目的是进一步揭示这一现象,以便更好地了解其规模和趋势,并指出若加以改变可能减轻该现象的潜在关键因素。

材料与方法

收集了2001年至2015年意大利罗马民事法庭宣判的458起牙科医疗事故案例。提取有用信息,填入表格并进行统计分析。对各年份的数据进行比较并整体评估。

结果

获取了多方面信息,其中包括:近年来牙科医疗事故索赔数量有所下降;74%的案例中牙科专业人员被判有罪;平均赔偿金额为18,820.15欧元;被判有罪的参保牙医中只有47.7%获得了保险的全额赔付。

结论

与我们的预期相反,近年来法庭受理的牙科医疗事故索赔有所减少。牙科专业保险的责任限额相对于平均赔偿金额较高,而且由于合同中存在特殊条款,保险并不总是涵盖所有费用。

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