评估肯尼亚解决医疗事故的法律机制:它们到底有多有效?

Herman Omiti, Elizabeth Cheupe Fundi
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引用次数: 1

摘要

最近,关于医生的医疗疏忽/医疗事故的索赔不断增加,大多数受害者指责纪律程序中的程序缺陷。其中一个主要论点是,医生和牙医委员会没有权力有效处理医生的不道德行为,即使它有这种权力,委员会也不愿充分行使和处理这个问题。首先,委员会没有权力命令受影响的各方赔偿,即使发现医生有罪,他们也只能命令各方记录调解。通常情况下,这些调解过程没有任何成果,受害者只能选择上法庭,这对大多数肯尼亚人来说有时太昂贵了,因此大多数医生很容易逃脱这种不法行为。第二,尽管委员会有权撤销被发现违反行为准则的医生的执照,但委员会在行使这项权力时总是非常克制。因此,人们的感觉是,这一程序的预期威慑效果没有得到体现,因此,医疗疏忽/医疗事故的案件越来越多。目前尚不清楚审计委员会是否可以建议起诉有关的从业人员,以及有关当局将如何认真地采取这些建议。那么问题来了,肯尼亚处理医疗事故的法律机制到底有多有效?这是法律漏洞的问题,还是那些被指控承担这一责任的人太不情愿或只是不愿意履行他们的职责?本文试图探究这些问题。该文件着眼于管理肯尼亚医生行为的法律框架。它主要侧重于在发生由医生造成的医疗事故时寻求补救的现有法律机制,目的是指出其中的不足之处。本文着重论述了医疗事故/过失的惩戒程序。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the Legal Mechanisms for Redressing Medical Malpractice in Kenya: Just How Effective are They?
In the recent past, claims of medical Negligence/malpractice by medical practitioners have been on the increase with most of the victims blaming the procedural inadequacies in the disciplinary process. One of the major contentions is that the Medical Practitioners and Dentists Board does not have the powers to effectively deal with unethical conduct of medical practitioners, and even where it has such powers, the Board has been reluctant to adequately exercise and deal with the problem. First, the Board does not have the power to order compensation to affected parties even where a doctor has been found culpable, they can only order parties to record mediation. More often than not, these mediation processes do not bear any fruits leaving the victim with only the option of going to court which is sometimes too expensive for the majority of Kenyans, thus most doctors easily get away with such malpractices. Secondly, even though the Board has the power to withdraw the license of a doctor found to be in breach of the code of conduct, the Board has always exercised this power with great restraint. The feeling therefore is that the expected deterrent effect of this procedure is not felt and therefore the more reason why cases of medical negligence/malpractice are on the increase. Whether or not the Board can recommend prosecution of the practitioner in question and just how serious such recommendations would be taken by the relevant authorities is still unclear. The question then is, just how effective are the legal mechanisms for addressing medical malpractice in Kenya? Is it a matter of gaps in the law or are those charged with this responsibility too reluctant or just unwilling to execute their duty?This paper seeks to interrogate these issues. The paper looks at the legal framework governing the conduct of medical practitioners in Kenya. It mainly focuses on the available legal mechanisms of seeking redress in case of medical malpractice attributed to a medical practitioner with the aim of pointing out the inadequacies therein. The paper lays emphasis on the disciplinary procedure for medical malpractice/negligence.
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