民事诉讼作为医疗保健不良结果的指标。
Civil Lawsuits as an Indicator of Adverse Outcomes in Healthcare.
机构信息
Department of Economic and System Analyses, National Institute of Public Health-NIH-National Research Institute, 00-791 Warsaw, Poland.
Budzowska, Fiutowski & Partners. Attorneys-at-Law, 31-041 Krakow, Poland.
出版信息
Int J Environ Res Public Health. 2022 Aug 30;19(17):10783. doi: 10.3390/ijerph191710783.
The financial burden of adverse healthcare outcomes in Poland still remains unknown. The objective of the study was to estimate the cost of adverse healthcare outcomes in the Polish healthcare system. Cost calculation was performed on the basis of civil cases completed in Polish courts against doctors and healthcare entities. The research material consisted of 183 civil cases completed by a final judgment in 2011-2013. The case study was conducted in five out of forty-five district courts across the country. Out of 183 reviewed cases, 73 complaints ended up with favorable judgments (39.9%). The average value of the subject matter of the dispute was USD 78,675. The total expected value of lawsuits in the 183 reviewed cases was USD 11,299,020. The total amount awarded in 73 judgments from medical facilities to injured patients was USD 2,653,595, which on average means USD 36,351 per case. The average amount of awarded compensation was USD 33,317 per case. The average compensation amount in the analyzed cases was USD 11,724. The average one-time annuity for a patient was USD 11,788. The estimated costs of negative healthcare outcomes amounted to USD 8,000,000 per year.
波兰不良医疗结果的经济负担仍不清楚。本研究的目的是估计波兰医疗体系中不良医疗结果的成本。成本计算是基于在波兰法院对医生和医疗机构完成的民事诉讼进行的。研究材料包括 2011 年至 2013 年期间通过最终判决完成的 183 起民事诉讼。案例研究在全国 45 个地区法院中的 5 个进行。在审查的 183 起案件中，有 73 起投诉的判决结果有利（39.9%）。争议标的物的平均价值为 73,675 美元。在审查的 183 起案件中，预计诉讼总价值为 11,299,020 美元。从医疗机构判给受伤患者的 73 项判决中的总金额为 26,535,955 美元，平均每个案件为 36,351 美元。判给赔偿的平均金额为每个案件 33,317 美元。在分析的案件中，平均赔偿金额为 11,724 美元。每位患者的一次性年金平均为 11,788 美元。估计的不良医疗结果成本为每年 800 万美元。
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