Mills D H
West J Med. 1988 Nov;149(5):611-5.
Existing tort reform has produced moderating effects on some states, particularly California. Continued escalation of claims frequency, however, and average paid-claim costs mean that other remedies will have to be sought if the professional liability problem is to be solved. Many sources, including the American Medical Association, have proffered radical changes, but most of these changes will cost more than physicians and hospitals can afford. Therefore, the availability of additional funds will determine the next stage of reform. In the meantime, physicians must become more expert in medical staff peer review if they expect to successfully affect future developments.
现有的侵权行为改革已对一些州产生了缓和作用，尤其是加利福尼亚州。然而，索赔频率的持续上升以及平均赔付索赔成本意味着，如果要解决职业责任问题，就必须寻求其他补救措施。包括美国医学协会在内的许多机构都提出了激进的变革建议，但这些变革大多成本过高，医生和医院难以承受。因此，额外资金的可获得性将决定改革的下一阶段。与此同时，如果医生期望成功影响未来的发展，他们必须在医务人员同行评审方面变得更加专业。
