Horwitz J, Brennan T A
Program in Law and Public Health, Harvard School of Public Health, Boston, USA.
Health Aff (Millwood). 1995 Winter;14(4):164-79. doi: 10.1377/hlthaff.14.4.164.
Changes in malpractice law remain an important goal of health care reform. Many state and federal legislators continue to call for measures that would limit the ability of injured patients to sue. There is also growing interest in alternatives to fault-based litigation. As legislators consider no-fault proposals, they can look to Florida's experience with the Neurological Injury Compensation Association (NICA), which for the past four years has been providing no-fault compensation for injured newborns. NICA provides some insights into the ways in which claims are generated, the nature of risk spreading, and the financial viability of a no-fault model.
医疗事故法的变革仍是医疗改革的一个重要目标。许多州和联邦立法者继续呼吁采取措施限制受伤患者的起诉能力。对于基于过错的诉讼的替代方案也越来越受到关注。在立法者考虑无过错提案时，他们可以参考佛罗里达州神经损伤赔偿协会（NICA）的经验，在过去四年里该协会一直在为受伤的新生儿提供无过错赔偿。NICA为索赔产生的方式、风险分担的性质以及无过错模式的财务可行性提供了一些见解。
