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[专家委员会与仲裁委员会。现状报告]

[Expert commissions and arbitration boards. A report of current status].

作者信息

Neumann G

出版信息

Versicherungsmedizin. 1993 Apr 1;45(2):38-44.

PMID:8484196
Abstract

Since 1975 all German Land Medical Councils (Landesärztekammern) have launched either boards of experts or arbitration panels with the intention to settle disputes on medical malpractice by arbitration, on a voluntary base, free from commitment, and without any costs for the parties concerned. Numbers of arbitrator's awards and rates of affirmed cases of malpractice are given for the years 1988 to 1991, for all panels or boards, respectively. More details are reported from the boards of experts of the Land Medical Council of Baden-Württemberg with special reference to possible relations of affirmed awards to some demographic and professional factors. The probability of being involved in a procedure of arbitration is broken down by medical specialty and by site of employment, e.g. in hospital or in medical practice. The highest rates are found in specialties operating on and in hospital doctors. But the percentage of affirmed awards is higher for doctors working in their own office. Evaluating the consequences following the awards of two different periods shows a high degree of acceptance by the patients. Without affirmation less than ten percent of all patients involved apply to the courts but this is done by about thirty percent if the award is affirmating. In these cases the amount of the compensation wanted is contested.

摘要

自1975年以来,德国所有州医学委员会(Landesärztekammern)都设立了专家委员会或仲裁小组,旨在通过仲裁以自愿、无约束且不向相关各方收取任何费用的方式解决医疗事故纠纷。分别给出了1988年至1991年所有小组或委员会的仲裁员裁决数量和医疗事故确认案件比率。特别提及了巴登 - 符腾堡州医学委员会专家委员会的更多细节,尤其是确认裁决与一些人口统计学和专业因素之间可能存在的关系。参与仲裁程序的概率按医学专业和就业地点(如医院或医疗诊所)进行了细分。发生率最高的是从事手术的专业和医院医生。但在自己诊所工作的医生,其裁决被确认的百分比更高。对两个不同时期裁决后的结果进行评估表明,患者的接受程度很高。如果裁决未被确认,所有涉案患者中不到10%会向法院起诉,但如果裁决被确认,这一比例约为30%。在这些情况下,索要的赔偿金额存在争议。

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