White M J
University of Michigan.
Health Aff (Millwood). 1994 Fall;13(4):75-87. doi: 10.1377/hlthaff.13.4.75.
In this paper I estimate the strength of medical providers' incentive to avoid negligent medical care, taking account of the facts that many victims of medical malpractice do not file claims, many nonvictims do file claims, legal costs are high, and the legal system makes errors. Despite these problems, the negligence system creates a strong financial incentive for medical providers to avoid substandard care: The average cost of negligence is $135,000 per malpractice claim involving negligence and $3,500 per occurrence of negligent medical care. These substantial penalties suggest that if liability were abolished without adopting effective alternative sanctions for negligent medical care, the number and cost of medically caused injuries and deaths could rise sharply.
在本文中,我估计了医疗服务提供者避免医疗过失的激励强度,同时考虑到以下事实:许多医疗事故受害者并未提出索赔,许多非受害者却提出了索赔,法律成本高昂,而且法律系统也会出错。尽管存在这些问题,但过失责任制度为医疗服务提供者避免提供不合格医疗服务创造了强大的经济激励:涉及过失的医疗事故索赔的平均过失成本为每项索赔13.5万美元,每次医疗过失事件的成本为3500美元。这些高额处罚表明,如果在没有对医疗过失采取有效替代制裁措施的情况下废除责任制度,医疗导致的伤害和死亡的数量及成本可能会急剧上升。