Medical Accident Liability and Redress in English and French Law

Taylor, Simon

doi:10.1017/cbo9781316212721

Cited by 7 publications

(2 citation statements)

References 66 publications

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“…Even via ONIAM, the funds are not unlimited and several corrective orientations have already taken place to adapt reality to theory. 8,18,20,22 The Out-of-Court System After the 2002 PRL: A One-Stop Shop and a Mixed Bag?…”

Section: National Solidarity and The Welfare Statementioning

confidence: 99%

Litigations following spinal neurosurgery in France: “out-of-court system,” therapeutic hazard, and welfare state

Debono

Gerson²,

Houselstein³

et al. 2020

Neurosurgical Focus

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OBJECTIVESpinal surgeries carry risks of malpractice litigation due to the random nature of their functional results, which may not meet patient expectations, and the hazards associated with these complex procedures. Claims are frequent and costly. In France, since 2002, a new law, the Patients’ Rights Law of March 4, 2002, has created an alternative, out-of-court scheme, which established a simplified, rapid, free-of-charge procedure (Commission for Conciliation and Compensation [CCI]). Moreover, this law has optimized the compensation provided to patients for therapeutic hazards by use of a national solidarity fund. The authors analyzed the consequences of this alternative route in the case of claims against private neurosurgeons in France.METHODSFrom the data bank of the insurer Mutuelle d’Assurances du Corps de Santé Français (MACSF), the main insurance company for private neurosurgeons in France, the authors retrospectively analyzed 193 files covering the period 2015–2019. These computerized files comprised the anonymized medical records of the patients, the reports of the independent experts, and the final judgments of the CCI and the entities supporting the compensation, if any.RESULTSDuring the 5-year study period (2015–2019), the insurance company recorded 494 complaints involving private neurosurgeons for spinal surgery procedures, of which 126 (25.5%) were in civil court, 123 (24.9%) were under amicable procedure, and 245 (49.6%) were in the out-of-court scheme administered by the CCI. Out of these 245 cases, only 193 were closed due to delays. The conclusions of the commission were rejection/incompetence decisions in 47.2% of the cases, therapeutic hazards in 21.2%, nosocomial infections in 17.6%, and practitioner fault in 13.5%. National solidarity compensated for 48 complaints (24.8%). The final decision of the CCI is not always consistent with the conclusions of the experts mandated by it, illustrating the difficulty in defining the concept of hazards. The authors found that the therapeutic hazards retained and compensated by the national solidarity included decompensated spondylotic myelopathies (15% of the 40 cases) and cauda equina syndromes (30%). As allowed by law, 11.5% of the patients who were not satisfied triggered a classical procedure in a court.CONCLUSIONSIn the French out-of-court system, trial decisions resulting in rulings of proven medical malpractice are rare, but patients can start a new procedure in the classical courts. The therapeutic hazard remains a subtle definition, which may be problematic and require further discussion between experts and magistrates. In spite of the imperfections, this out-of-court system proposes a major evolution to move patients and medical providers from legal battles to reconciliations.

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Section: National Solidarity and The Welfare Statementioning

confidence: 99%

Litigations following spinal neurosurgery in France: “out-of-court system,” therapeutic hazard, and welfare state

Debono

Gerson²,

Houselstein³

et al. 2020

Neurosurgical Focus

View full text Add to dashboard Cite

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“…Svarbu ir tai, kad toks sužalojimas nebūtų genetiškai nulemtas. Tik esant šioms kumuliatyvioms sąlygoms yra pagrindas spręsti dėl atlygintinos žalos dydžio 45 . Atsižvelgus į sužalojimus, kurių metu patirta žala atlyginama, yra pastebima, kad sudėtingiausias klausimas tokiais atvejais yra priežastinio ryšio įvertinimo aspektas, ar tam tikra konkrečiu atveju patirta žala turi būti atlyginama.…”

Section: Užsienio Valstybių Patirtis įGyvendinus žAlos Sveikatai Atlyunclassified

Pacientų Sveikatai Padarytos Žalos Atlyginimo Be Kaltės Modelis

Morkūnaitė¹

2017

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ĮvadasReikia pripažinti, kad, teikiant sveikatos priežiūros paslaugas, kaip ir kiekvienoje asmens veikloje, nėra išvengiama klaidų. Klaidų ne visada išvengiama net ir atsižvelgiant į didelę medicinos pažangą. Iliustruojant šį teiginį reikia pažymėti, kad 1960 metais A. A. Klasso 1 , o vėliau 2011 metais ir B. A. Kochas akcentavo paradoksalią situaciją, kai esant nepaneigiamai medicinos mokslo pažangai, didėjant tikimybei, kad pacientai bus išgydyti ir jiems suteiktos tinkamos sveikatos priežiūros paslaugos, vis dėlto klaidų ir toliau pasitaiko, gausėja ieškinių dėl netinkamai teiktų sveikatos priežiūros paslaugų 2 . Be to, nuo XX amžiaus pabaigos medicina tapo savo pačios sėkmės auka, kai gyventojų domėjimasis jos pažanga verčia tikėtis paties geriausio gydymo rezultato, o sveikatos priežiūros specialistų klaidos, nerūpestingas elgesys nėra toleruojami 3 . Taigi tinkamo sveikatos priežiūros paslaugų teikimo, jas teikiant padarytos žalos atlyginimo klausimai išlieka aktualūs, nepaisant medicinos pažangos.Ne išimtis yra ir Lietuva, kur paskutiniu metu vis garsiau ir aršiau kyla diskusijų dėl galimo netinkamo gydymo paslaugų teikimo, dėl jų metu padarytos žalos ir kad Lietuvos teisinė sistema, tiek jos 1 KLASS, A.

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Alternative Compensation Schemes for Medical Malpractice in the United Kingdom

McGrath

2021

Ius Comparatum - Global Studies in Comparative Law

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Medical Accident Liability and Redress in English and French Law

Cited by 7 publications

References 66 publications

Litigations following spinal neurosurgery in France: “out-of-court system,” therapeutic hazard, and welfare state

Litigations following spinal neurosurgery in France: “out-of-court system,” therapeutic hazard, and welfare state

Pacientų Sveikatai Padarytos Žalos Atlyginimo Be Kaltės Modelis

Alternative Compensation Schemes for Medical Malpractice in the United Kingdom

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