医疗过失导致的防御性医学:简要概述

Rozlinda Mohamed Fadzil, Asma Hakimah Ab Halim, Ain Alya Ariffin
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引用次数: 0

摘要

医疗过失是侵权法中的一个话题,它被广泛讨论为良好的、负担得起的医疗保健,这与一个国家通过向社会各阶层提供可获得和负担得起的最先进的医疗保健,从发展中国家成为发达国家的英勇努力有很大关系。作为医疗过失的一种惩罚,损害赔偿是通过法院的法律判决来惩罚医疗行业中有过失的成员。在某些情况下,医学界成员的行医执照也可能被暂停或吊销。每年,医疗过失索赔率本身就很高,并且随着患者对其医疗权利的认识的提高,预计将会上升。当医疗过失诉讼中的原告在试图证明过失确实发生时面临困难时,问题就出现了。在所谓的民事医疗事故指控之后,在获取医疗记录方面,妨碍司法公正的现象十分普遍。当医患保密义务与披露患者医疗记录以安全地获得其他医疗从业人员的准确宣誓证词的需要之间的界限模糊时,就会出现这种情况。在大多数医疗事故诉讼中,原告的责任在于病人(从病人到被告医生),他们有责任根据各种可能性证明确实发生了违反注意义务的行为,并且由于这种违反行为,出现了疏忽,造成了所声称的损害,造成了固有损害。高额的诉讼费用也是医疗事故诉讼的一个普遍现象。总的来说,这不可避免地提高了所有医疗专业人员的保险费。这些因素都是阻碍原告获得正义的因素。因此,本文将试图分析导致这些问题的原因。此外,在试图证明医疗事故确实发生的困难会造成什么不良影响?对这个问题的初步假设是,它会对病人的生活造成负面影响,并严重阻碍获得医疗服务。然而,本文将只关注在讨论医疗过失时被大量讨论的一种流行但不利的效应,即防御性医学。防御医学实际上是由于害怕医疗事故诉讼而达到高潮的一种反应。害怕面对或被采取行动,使他们采取必要的安全措施,即实行防御性医学,以避免这种风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
DEFENSIVE MEDICINE AS A RESULT OF MEDICAL NEGLIGENCE : A BRIEF OVERVIEW
Medical negligence is a topic in tort law which has been widely discussed as good, affordable healthcare, is greatly related to a nation’s proof of its valiant efforts to attain a developed nation from a developing status by providing state of the art health care available and affordable, to all levels of society. As a penalty in medical negligence, damages are met out to punish errant members of the medical fraternity by way of legal judgements in a court of law. In some circumstances members of the medical fraternity may also have their medical licenses suspended or revoked. Annually, medical negligence’s claim rates are inherently high and are expected to rise in tandem with patients’ awareness of their medical rights. Complication arises when the plaintiff in a medical negligence law suit face difficulties in trying to prove that the negligence really did occur. In obtaining access to medical records after a purported civil malpractice accusation, obstruction of justice is rife. They arise when blurred lines cross between obligation of doctor-patient confidentiality and the need to disclose patient’s medical records in order to securely obtain accurate sworn testimony of other medical practitioners. It is on the shoulders of the plaintiff, which in most medical malpractice law suits, rests on the patient (patients to the defendant doctors), to prove on a balance of probabilities that the breach of the duty of care did occur and from that breach, negligence had emerged, bringing about the claimed harm resulting in inherent damages suffered. High cost of litigation is also a common effect in medical malpractice law suits. This inevitably raises the insurance premium costs of all medical professionals, in general. These factors serve as impediments towards the plaintiff in obtaining justice. Hence, this paper will try to analyse the causes that has led to some of these problems. Also what will be the undesired effect caused by the difficulties in trying to prove that a medical malpractice has indeed occurred? The initial hypothesis to the matter is that it will cause negative effects to the livelihood of a patient’s life and seriously hider access to medical care. This paper will however only be focusing on one popular but ill-favouredeffect that is greatly deliberated on when medical negligence is discussed, which is defensive medicine. Defensive medicine is actually a reaction culminating from the fear of medical malpractice lawsuits by medical practitioners. Fear of facing or being taken action upon, has caused them to take necessary safe steps which is to practice defensive medicine to avoid such risk.
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