Currents in contemporary bioethics. Health care reform and medical malpractice claims.
Currents in contemporary bioethics. Health care reform and medical malpractice claims.
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当代生物伦理学的潮流。
DOI：
10.1111/j.1748-720x.2010.00540.x
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Rothstein,MarkA
中科院分区：
文献类型：
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作者：
Rothstein,MarkA
在过去的几年里，关于医疗改革的争论似乎没完没了，主要集中在医疗服务的获取、质量和成本上。关于医疗事故部分的争论几乎完全集中在成本上。支持限制责任的常见论点包括：防御性医疗的财务和健康成本；某些专业和地理区域的医生供应减少；过度奖励;以及高昂的交易成本，包括律师和专家证人费用。支持维持侵权责任的同样熟悉的论点包括需要促进民事司法，阻止不合格的护理，识别不合格的从业人员，并鼓励系统的质量改进。许多研究已经探讨了损害上限和其他措施对医疗事故保费、医疗保健成本和其他财务终点的可能影响。这个问题的一个相对未被充分研究的方面是，联邦立法扩大获得医疗保健的机会可能会如何改变医疗事故索赔的数量。随着《2010年患者保护和平价医疗法案》（PPACA）的颁布，考虑新法律对医疗事故索赔率的影响（如果有的话）是特别合适的。
The seemingly interminable debates about health care reform in the last few years have focused mainly on health care access, quality, and cost. Debates on the medical malpractice component of the issue have focused almost entirely on cost. The familiar arguments in favor of limiting liability include the financial and health costs of defensive medicine; decreased physician supply in certain specialties and geographic areas; excessive awards; and high transaction costs, including attorney and expert witness fees. The equally familiar arguments in favor of maintaining tort liability include the need to promote civil justice, deter substandard care, identify incompetent practitioners, and encourage systemic quality improvement.Numerous studies have explored the possible effects of damage caps and other measures on malpractice premiums, health care costs, and other financial endpoints. One relatively under-examined aspect of the issue is how federal legislation expanding access to health care might alter the number of medical malpractice claims. With the enactment of the Patient Protection and Affordable Care Act of 2010 (PPACA), it is especially appropriate to consider what effect, if any, the new law will have on the rate of medical malpractice claims.