Claims, liabilities, injures and compensation payments of medical malpractice litigation cases in China from 1998 to 2011.
Claims, liabilities, injures and compensation payments of medical malpractice litigation cases in China from 1998 to 2011.
复制标题
1998年至2011年，中国医疗事故诉讼案件的索赔，负债，损害和赔偿。
DOI：
10.1186/1472-6963-14-390
复制
发表时间：
2014-09-13
影响因子：
2.8
通讯作者：
Fan L
中科院分区：
文献类型：
--
作者：
Li H;Wu X;Sun T;Li L;Zhao X;Liu X;Gao L;Sun Q;Zhang Z;Fan L
尽管中国的医疗体系有了很大改善，但医患纠纷也日益加剧，达到了前所未有的水平。通过对医疗事故诉讼的回顾分析，可以发现这些纠纷的特点和根本原因。我们分析了1998年至2011年的医疗事故诉讼数据，在全国中国案件数据库(1086件)中，通过诉讼数据库分析索赔的特征，包括索赔、责任、伤害和赔偿。在分析的案件中，76%的索赔在民事判决中获得赔偿(841项中的640项)，而93%的索赔是在有偿判决中的过错责任(640项中的597项)。从伤害纠纷发生到索赔结案的平均时间跨度为3年。22%的索赔(841件中的183件)是由受伤、中毒和其他外部原因造成的。79%的索赔(597起索赔中的472起)是由医疗技术错误造成的。死亡的损害赔偿金的中位数明显低于重伤(P <； 0.001；死亡，13270美元[智商，7.617-23181美元]；重伤，23721美元[智商，10367-57058美元])。最后，在轻伤、重伤和死亡之间，精神补偿的中位数没有统计学差异(P = 0.836)。冲突和高额支付的社会原因除了中国对治疗的高期望外，还有灾难性的自付医疗费用。在这些索赔中，中国在诉讼时间、设施和专业方面与其他国家没有区别。不同医疗损害赔偿在中国身上是不公平的。
Although China experienced great improvement in their health system, disputes between patients and doctors have increasingly intensified, reaching an unprecedented level. Retrospective analysis of medical malpractice litigation can discover the characteristics and fundamental cause of these disagreements. We analyzed medical malpractice litigation data from 1998 to 2011 for characteristics of claims via a litigation database within a nationwide database of cases (1086 cases) in China, including claims, liabilities, injures, and compensation payments. Among the cases analyzed, 76 percent of claims received compensation in civil judgment (640 out of 841), while 93 percent were fault liability in paid judgment (597 out of 640). The average time span between the occurrence of the injury dispute and closure of claims was 3 years. Twenty-two percent of claims (183 of 841) were caused by injury, poisoning, and other external causes. Seventy-nine percent of claims (472 of 597) were contributed to by errors in medical technology. The median damage compensation payment for death was significantly lower than for serious injuries (P < 0.001; death, $13270 [IQR, $7617–$23181]; serious injury, $23721 [IQR, $10367–$57058]). Finally, there was no statistically significant difference in the median mental compensation between minor injury, serious injury, and death (P = 0.836). The social reasons for the conflict and high payment were catastrophic out-of-pocket health-care expense in addition to the high expectations for treatment in China. There were no distinguishing features between China and other countries with respect to time of suits, facilities, and specialties in these claims. The compensation for damages in different medical injuries was unfair in China.
登录
查看更多内容
DOI：
10.1111/j.1447-0756.2010.01240.x
发表时间：
2010-08-01
影响因子：
1.6
作者：
Uesugi, Nana;Yamanaka, Michiko;Hirahara, Fumiki
通讯作者：
Hirahara, Fumiki
DOI：
10.1056/nejmsa1012370
发表时间：
2011-08-18
期刊：
The New England journal of medicine
影响因子：
--
作者：
Jena AB;Seabury S;Lakdawalla D;Chandra A
通讯作者：
Chandra A
影响因子：
5.4
作者：
Tehrani, Ali S. Saber;Lee, HeeWon;Newman-Toker, David E.
通讯作者：
Newman-Toker, David E.
影响因子：
2.1
作者：
Kelly, CN;Mello, MM
通讯作者：
Mello, MM
影响因子：
1.4
作者：
Shaw, Gary Y.;Pierce, Elizabeth
通讯作者：
Pierce, Elizabeth