英国国家医疗服务体系(NHS)的国家趋势和诉讼费用:过去十年的专项分析。

IF 1.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Scottish Medical Journal Pub Date : 2021-11-01 DOI:10.1177/00369330211052627
Jenni Lane, Rahul Bhome, Bhaskar Somani
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引用次数: 17

摘要

背景和目的:英国的医疗诉讼索赔和费用正在上升。本研究旨在分析2009/10至2018/19年英国个别临床专业诉讼费用的10年趋势。方法:数据来自国家卫生服务(NHS)决议。确定每个财政年度的索偿数目、诉讼费用总额和每宗索偿费用。收集的数据还包括2009-2019年(2009/2010至2018/2019财政年度)期间每个专业的索赔数量和每项索赔的平均金额。结果:目前(2018/2019),NHS诉讼的年度总成本为36亿英镑。损害赔偿占成本的最大比例(15亿英镑)。外科专业每年的索赔数量最多(2847起),但产科的诉讼总额最多(19亿英镑),每笔索赔费用最多(260万英镑)。2018/2019年的索赔数量、总费用和每笔索赔费用明显高于2009/2010年。结论:解决诉讼问题是复杂的。在医学上,有一些特殊的问题需要注意,而一些一般措施是所有人共同的:有效的沟通、设定现实的目标和保持一支积极进取、人员配备充足的工作队伍。这些,加上法律改革,可能会减轻NHS日益增加的诉讼的财政负担。
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National trends and cost of litigation in UK National Health Service (NHS): a specialty-specific analysis from the past decade.

Background and aims: Medical litigation claim and costs in UK are rising. This study aims to analyse the 10-year trend in litigation costs for individual clinical specialties in the UK from 2009/10 to 2018/19.

Methods: Data were procured from National Health Service (NHS) Resolution. Number of claims, total litigation costs and cost per claim were ascertained for each financial year. The data collected also includes the number of claims and average amount per claim per speciality during the years 2009-2019 (2009/2010 to 2018/2019 financial years).

Results: The total annual cost of NHS litigation is currently £3.6 billion(2018/2019). Damages make up the greatest proportion of costs(£1.5 billion). Surgical specialties have the greatest number of claims annually(2847) but Obstetrics has the greatest total litigation(£1.9 billion) and cost per claim(£2.6 million). Number of claims, total costs and cost per claim are significantly greater in 2018/2019 than in 2009/2010.

Conclusions: Addressing the issue of litigations is complex. Medically there are speciality specific issues that require attention, whilst some general measures are common to all: effective communication, setting realistic targets and maintaining a motivated, adequately staffed workforce. These, alongside legal reforms, may reduce the financial burden of increasing litigation on the NHS.

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来源期刊
Scottish Medical Journal
Scottish Medical Journal 医学-医学:内科
CiteScore
4.80
自引率
3.70%
发文量
42
审稿时长
>12 weeks
期刊介绍: A unique international information source for the latest news and issues concerning the Scottish medical community. Contributions are drawn from Scotland and its medical institutions, through an array of international authors. In addition to original papers, Scottish Medical Journal publishes commissioned educational review articles, case reports, historical articles, and sponsoring society abstracts.This journal is a member of the Committee on Publications Ethics (COPE).
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