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儿童癌症可避免伤害的成本:诉讼还是调解?

The costs of avoidable injury from childhood cancer: Litigate or mediate?

机构信息

Emeritus Professor in Paediatric Oncology, Children's Brain Tumour Research Centre, University of Nottingham, NG7 2UH.

Retired Barrister (Formerly of No 5 Barristers Chambers, Birmingham-London-Bristol-Leicester, UK).

出版信息

Med Leg J. 2022 Dec;90(4):182-188. doi: 10.1177/00258172221099077. Epub 2022 Sep 22.

DOI:10.1177/00258172221099077
PMID:36138565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9716385/
Abstract

We write as experienced paediatric practitioners who have been involved in medico-legal proceedings where cases related to childhood cancer practice have featured frequently. We will use the service evaluation of Professor David A Walker's last 35 cases, where all but seven concerned children with tumours of the brain or spine to illustrate the concerns that families raise. We refer to the evidence from the HeadSmart programme (www.headsmart.org.uk), which seeks to accelerate diagnosis by raising awareness of the disease and symptoms. We use the experience of Dr Jonathan AG Punt to illustrate the legal issues that apply and explain the way that significant quantum calculations are applied to cases of this type. The current move by NHS Resolution to explore the expanded role of mediation will be discussed and the need for research to explore the precise way that mediation could be developed to offer an alternative approach to conflict resolution.

摘要

我们是经验丰富的儿科医生,曾参与过涉及儿童癌症实践的医学法律诉讼。我们将使用大卫·沃克教授最后 35 个病例的服务评估来说明家庭提出的担忧,这些病例中除了 7 个以外都与脑或脊柱肿瘤的儿童有关。我们提到了 HeadSmart 项目(www.headsmart.org.uk)的证据,该项目旨在通过提高对该疾病和症状的认识来加速诊断。我们使用乔纳森·A·G·彭特博士的经验来说明适用于此类案件的法律问题,并解释如何将重大量子计算应用于此类案件。目前,NHS Resolution 正在探讨扩大调解的作用,将讨论需要研究如何开发调解以提供解决冲突的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/988e/9716385/c0d47dd395f6/10.1177_00258172221099077-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/988e/9716385/529347ddc318/10.1177_00258172221099077-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/988e/9716385/6338b3787f9c/10.1177_00258172221099077-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/988e/9716385/e131c656f7af/10.1177_00258172221099077-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/988e/9716385/c0d47dd395f6/10.1177_00258172221099077-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/988e/9716385/529347ddc318/10.1177_00258172221099077-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/988e/9716385/6338b3787f9c/10.1177_00258172221099077-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/988e/9716385/e131c656f7af/10.1177_00258172221099077-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/988e/9716385/c0d47dd395f6/10.1177_00258172221099077-fig4.jpg

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本文引用的文献

1
Helping GPs to diagnose children's cancer.帮助全科医生诊断儿童癌症。
Br J Gen Pract. 2021 Mar 26;71(705):151-152. doi: 10.3399/bjgp21X715241. Print 2021 Apr.
2
Accelerating diagnosis for childhood brain tumours: an analysis of the HeadSmart UK population data.加速儿童脑肿瘤诊断:英国 HeadSmart 人群数据分析。
Arch Dis Child. 2020 Apr;105(4):355-362. doi: 10.1136/archdischild-2018-315962. Epub 2019 Oct 25.
3
How Do Biological Characteristics of Primary Intracranial Tumors Affect Their Clinical Presentation in Children and Young Adults?
儿童脑肿瘤:真正重要的是孩子的大脑。
Front Oncol. 2022 Oct 4;12:982914. doi: 10.3389/fonc.2022.982914. eCollection 2022.
J Child Neurol. 2018 Jul;33(8):503-511. doi: 10.1177/0883073818767562. Epub 2018 May 3.
4
Pattern of symptoms and signs of primary intracranial tumours in children and young adults: a record linkage study.儿童和青年原发性颅内肿瘤的症状和体征模式:一项记录链接研究。
Arch Dis Child. 2015 Dec;100(12):1115-22. doi: 10.1136/archdischild-2014-307578. Epub 2015 Jun 4.