Medicine, malpractice and misapprehensions:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Abingdon
Routledge-Cavendish
2007
|
| Ausgabe: | 1. publ. 2007 |
| Schriftenreihe: | Biomedical law and ethics library
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIV, 224 S. graph. Darst. |
| ISBN: | 9780415428095 |
Internformat
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Datensatz im Suchindex
| _version_ | 1804137352118927360 |
|---|---|
| adam_text | Contents
List of illustrations ix
List of abbreviations x
Acknowledgments xii
Introduction xiii
1 Data, accuracy, compensation and error: what should we
believe? 1
The increasing volume of claims in the twentieth century 1
The injuries giving rise to claims 29
How common are errors in healthcare? 29
The balance of claims against errors 41
The balance of claims against complaints 42
The culture ofundercompensation 43
The litigation process 44
Conclusion: reflections on the figures 46
2 Reasons for the increase in claims: who is to blame? 48
Introduction 48
Reflections on the causes of the rise in claims 49
Charting the causes by time-line 75
Conclusion 78
3 The compensation culture in healthcare: myth or reality? 79
Is there a compensation culture in the UK? 80
The quality of the evidence 85
Who asserts that there is a compensation culture: who denies
its existence? 87
Why disapprove of a compensation culture? 103
Conclusion 103
viii Contents
4 Perpetuating the myth: should we blame the media? 106
Introduction 106
Fact or melodrama? 106
Responsible media practices, freedom of information and
public concerns 111
Criticisms of media coverage in the healthcare context 116
The power of media-based advertising 119
The value of media analysis 121
What do people believe anyway? 124
Counting the media involvement 126
Conclusion 128
5 Doctors: over-paid, out of control and under-regulated? 130
Are doctors overpaid? 130
Are doctors out of control and under-regulated? 146
The consequences of over-regulation: demoralisation and
defensive practice ? 153
Conclusion 162
6 Treating the affliction: are there any remedies? 163
Diagnosis and treatment 163
The role of the courts 164
Government intervention 167
Legal procedural reforms 192
Making amends and statutory intervention 194
Concluding recommendations 208
Index 219
Illustrations
Figures
1 Number of clinical negligence claims by year of incident as at
31/03/06 17
2 Projected figures over next 20 years 21
3 Total value of CNST claims by specialty at 31 /03/06 27
4 Time line showing key events 76
5 Projected number of claims by year of incident 77
6 Number of written complaints by regulatory 2005-6 148
Tables
1 Types of claim against Welsh Ambulance Service NHS Trust 9
2 Trend in number of claims 10
3 Number of formal clinical negligence claims against
NHS Trusts 2002-2006 10
4 Number of claims under Existing Liabilities Scheme 11
5 Number of claims under Ex-Regional Health Authorities Scheme 11
6 Welsh Risk Pool statistics for clinical negligence claims over
£25,000 14
7 CRU data for clinical negligence claims 14
8 Claims and payments under Vaccine Damage Payments Act 1979
since April 2000 16
9 Number of claims by date of incident 18
10 Recent payments by the NHS for clinical negligence in England 24
11 2006 categories of claim in highest awards 25
12 International patient safety incidents 36
13 Number of written complaints in England 1999-2005 169
|
| adam_txt |
Contents
List of illustrations ix
List of abbreviations x
Acknowledgments xii
Introduction xiii
1 Data, accuracy, compensation and error: what should we
believe? 1
The increasing volume of claims in the twentieth century 1
The injuries giving rise to claims 29
How common are errors in healthcare? 29
The balance of claims against errors 41
The balance of claims against complaints 42
The culture ofundercompensation 43
The litigation process 44
Conclusion: reflections on the figures 46
2 Reasons for the increase in claims: who is to blame? 48
Introduction 48
Reflections on the causes of the rise in claims 49
Charting the causes by time-line 75
Conclusion 78
3 The compensation culture in healthcare: myth or reality? 79
Is there a compensation culture in the UK? 80
The quality of the evidence 85
Who asserts that there is a compensation culture: who denies
its existence? 87
Why disapprove of a compensation culture? 103
Conclusion 103
viii Contents
4 Perpetuating the myth: should we blame the media? 106
Introduction 106
Fact or melodrama? 106
Responsible media practices, freedom of information and
public concerns 111
Criticisms of media coverage in the healthcare context 116
The power of media-based advertising 119
The value of media analysis 121
What do people believe anyway? 124
Counting the media involvement 126
Conclusion 128
5 Doctors: over-paid, out of control and under-regulated? 130
Are doctors overpaid? 130
Are doctors out of control and under-regulated? 146
The consequences of over-regulation: demoralisation and
defensive practice ? 153
Conclusion 162
6 Treating the affliction: are there any remedies? 163
Diagnosis and treatment 163
The role of the courts 164
Government intervention 167
Legal procedural reforms 192
Making amends and statutory intervention 194
Concluding recommendations 208
Index 219
Illustrations
Figures
1 Number of clinical negligence claims by year of incident as at
31/03/06 17
2 Projected figures over next 20 years 21
3 Total value of CNST claims by specialty at 31 /03/06 27
4 Time line showing key events 76
5 Projected number of claims by year of incident 77
6 Number of written complaints by regulatory 2005-6 148
Tables
1 Types of claim against Welsh Ambulance Service NHS Trust 9
2 Trend in number of claims 10
3 Number of formal clinical negligence claims against
NHS Trusts 2002-2006 10
4 Number of claims under Existing Liabilities Scheme 11
5 Number of claims under Ex-Regional Health Authorities Scheme 11
6 Welsh Risk Pool statistics for clinical negligence claims over
£25,000 14
7 CRU data for clinical negligence claims 14
8 Claims and payments under Vaccine Damage Payments Act 1979
since April 2000 16
9 Number of claims by date of incident 18
10 Recent payments by the NHS for clinical negligence in England 24
11 2006 categories of claim in highest awards 25
12 International patient safety incidents 36
13 Number of written complaints in England 1999-2005 169 |
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| title | Medicine, malpractice and misapprehensions |
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| title_exact_search_txtP | Medicine, malpractice and misapprehensions |
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