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南蒂罗尔医疗保健公司:意大利一种独特索赔管理模式的审视及其过去11年分析

South Tyrol Healthcare Company: A Look at a Peculiar Model of Claims Management in Italy and Analysis of Its Last 11 Years.

作者信息

Zanon Martina, Randazzo Francesco, Equisetto Valter, Martini Paolo, Winkler Silvia, Leuprecht Christian, Vale Stephan, Tessadri Antonia, Concato Monica, D'Errico Stefano

机构信息

Servizio di Medicina Legale Aziendale, Azienda Sanitaria dell'Alto Adige, 39100 Bolzano, Italy.

Ufficio affari generali e assicurazioni, Azienda Sanitaria dell'Alto Adige, 39100 Bolzano, Italy.

出版信息

Healthcare (Basel). 2024 May 24;12(11):1070. doi: 10.3390/healthcare12111070.

Abstract

BACKGROUND

Alternative Disputes Resolution (ADR) systems are becoming increasingly important tools in recent years for the management and resolution of health responsibility cases, but their dissemination and efficiency are still poorly described. The purpose of this paper is to present an ADR system in the autonomous province of Bolzano: the Conciliation Commission.

METHODS

systematic collection of all claims of the South Tyrol Sanitary Service that were dealt with in the Conciliation Commission from 1 January 2012 to 31 December 2022.

RESULTS

closing times of the applications received turn out to be less than a year in 63.8% of the cases, with a number of cases managed rather stably in the time, even if minimal if compared to the number of complaints received to the South Tirol Health Service. Only 5.3% of the application continued the legal process before a civil court.

CONCLUSIONS

the Conciliation Commission of South Tirol appears to be an excellent instrument for the resolution of disputes in the healthcare field, with rapid resolution times and little to zero costs for the healthcare company, a public health institution. Despite its effectiveness, it seems to be a tool that is still little-known in South Tyrol.

摘要

背景

近年来,替代性纠纷解决(ADR)系统已成为处理和解决医疗责任案件日益重要的工具,但其传播情况和效率仍鲜为人知。本文旨在介绍博尔扎诺自治省的一个ADR系统:调解委员会。

方法

系统收集2012年1月1日至2022年12月31日在调解委员会处理的南蒂罗尔卫生服务机构的所有索赔要求。

结果

63.8%的案件中收到的申请结案时间不到一年,尽管与向南蒂罗尔卫生服务机构收到的投诉数量相比数量极少,但在这段时间内处理的案件数量相当稳定。只有5.3%的申请在民事法庭继续法律程序。

结论

南蒂罗尔调解委员会似乎是解决医疗领域纠纷的一个出色工具,解决时间快,对作为公共卫生机构的医疗公司来说成本几乎为零或零成本。尽管其效果显著,但它似乎仍是南蒂罗尔鲜为人知的一个工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07c/11172322/60d18e560f86/healthcare-12-01070-g001.jpg

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