Bursztajn H, Brodsky A
Program in Psychiatry and the Law, Harvard Medical School, Massachusetts Mental Health Center, Boston, USA.
Arch Intern Med. 1996 Oct 14;156(18):2057-63.
The risk of malpractice liability faced by physicians is exacerbated by third-party intrusions such as those encountered in today's managed care environment. The likelihood that a malpractice action will be brought is increased by the interaction among patients, families, or physicians who are at high risk for litigation and situations (eg, denial of treatment benefits by the managed care organization) that create adversity. To prevent the ready translation of resource adversity into an adversarial physician-patient-family relationship, a forensic psychiatric consultation is recommended.
医生面临的医疗事故责任风险因第三方干预而加剧,比如在如今的管理式医疗环境中所遇到的情况。医疗事故诉讼发生的可能性会因患者、家属或医生这类高诉讼风险人群之间的相互作用以及造成不利情况(如管理式医疗组织拒绝提供治疗福利)而增加。为防止资源短缺轻易转化为医患-家属之间的对抗关系,建议进行法医精神病学咨询。