Document Detail


Medical malpractice: the experience in Italy.
MedLine Citation:
PMID:  18985423     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
At the present time, legal actions against physicians in Italy number about 15,000 per year, and hospitals spend over 10 billion euros (approximately US$15.5 billion) to compensate patients injured from therapeutic and diagnostic errors. In a survey summary issued by the Italian Court for the Rights of the Patient, between 1996 and 2000 orthopaedic surgery was the highest-ranked specialty for the number of complaints alleging medical malpractice. Today among European countries, Italy has the highest number of physicians subject to criminal proceedings related to medical malpractice, a fact that is profoundly changing physicians' approach to medical practice. The national health system has paid increasingly higher insurance premiums and is having difficulty finding insurance companies willing to bear the risk of monetary claims alleging medical malpractice. Healthcare costs will likely worsen as Italian physicians increasingly practice defensive medicine, thereby overutilizing resources with the goal of documenting diligence, prudence, and skill as defenses against potential litigation, rather than aimed at any patient benefit. To reduce the practice of defensive medicine and healthcare costs, a possible solution could be the introduction of an extrajudicial litigation resolution, as in other civil law countries, and a reform of the Italian judicial system on matters of medical malpractice litigation.
Authors:
Francesco Traina
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Publication Detail:
Type:  Journal Article; Review     Date:  2008-11-05
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  467     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-19     Completed Date:  2009-02-10     Revised Date:  2010-09-23    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  434-42     Citation Subset:  AIM; IM    
Affiliation:
First Department of Orthopedic Surgery, Laboratorio di Tecnologia Medica, Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136, Bologna, Italy. traina@tecno.ior.it
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MeSH Terms
Descriptor/Qualifier:
Contracts
Humans
Informed Consent / legislation & jurisprudence
Italy
Liability, Legal / economics
Malpractice / economics,  legislation & jurisprudence,  statistics & numerical data*
Physician-Patient Relations
Physicians / legislation & jurisprudence,  statistics & numerical data
State Medicine / economics,  legislation & jurisprudence
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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