Department of Management, University of Turin, 10134 Turin, Italy.
Department of Law, University of Turin, 10124 Turin, Italy.
Int J Environ Res Public Health. 2021 Sep 22;18(19):9954. doi: 10.3390/ijerph18199954.
Civil liability represents one of the main responsibilities for healthcare facilities; it is the legal responsibility of paying money for damage to a person's health. Even though this responsibility plays a key role in the economic sustainability of healthcare facilities, the literature does not enough investigate this responsibility in regional health services. The paper aims to define the evolution of compensation models for health civil liability adopted by regional health services. Through a longitudinal case study, the paper investigates the compensation model by a leading regional health service. The finding highlights the evolution of the compensation model for health civil liability adopted by a leading Regional Health Service from 1990 to 2021. It describes a transition from an insurance model to a mixed model based on self-coverage up to a set economic level, an insurance policy with self-insurance retention and deductible for all claims. The research contributes to the literature and practice throughout the definition of a compensation model for damages based on self-insurance of regional health service and insurance policies. The research promotes a compensation model used by a leading regional health service.
民事责任是医疗机构的主要责任之一，是对损害他人健康进行经济赔偿的法律责任。尽管这种责任在医疗机构的经济可持续性方面起着关键作用，但文献对区域卫生服务中的这种责任研究不足。本文旨在定义区域卫生服务机构采用的健康民事责任赔偿模式的演变。通过纵向案例研究，本文调查了一家领先的区域卫生服务机构的赔偿模式。研究结果突出了一家领先的地区卫生局从 1990 年到 2021 年采用的健康民事责任赔偿模式的演变。它描述了从保险模式向基于自我覆盖的混合模式的转变，直到设定的经济水平，对所有索赔采用自保保留和免赔额的保险政策。该研究通过定义基于区域卫生服务和保险政策的自我保险的损害赔偿模型，为文献和实践做出了贡献。该研究推广了领先的地区卫生局使用的赔偿模式。
