台灣的醫療糾紛狀況

Status of Medicolegal Problems in Taiwan

吳俊穎(Chun-Ying Wu) ； 賴惠蓁(Huei-Jen Lai) ； 陳榮基(Rong-Chi Chen)

《台灣醫學》 13卷1期 (2009/01) Pp. 1-8

https://doi.org/10.6320/FJM.2009.13(1).01

摘要

The first nationwide survey of physicians' experiences associated with medical malpractice in Taiwan was conducted by Dr. Rong-Chi Chen et al. in 1991. Since medical and social environments have changed dramatically in the past years, we repeated the same survey in 2005 to investigate the current status and compared the difference between 1991 and 2005. In the end of 2004, 33,036 physicians registered in Taiwan Medical Association. Totally, 6,602 questionnaires were sent effectively and 678 physicians responded. The response rate was 10.3%. The samples had similar demographic characteristics with the mother population. We found the higher prevalence of female patients (54.4%), patients who were dead (39.9%) or without body injury at all (31.2%), patients between 21-30 and 31-40 years of age among the malpractice cases. We also found female patients, patients who were dead or with severe body injury were associated with significantly higher compensation (P=0.003 and P＜0.0001 respectively). Patients between 21-40 years of age (OR=3.17, P=0.007), or patients who were dead (OR=1.32, P=0.024) were associated with higher chance of litigation. Once patients did not have body injury or only mild body injury, there was no chance to win a lawsuit. The chances for patients or family to win in a trial were 11.1% and 15.0% respectively for patients with severe body injury or dead. We found patients' characteristics were associated with the occurrence and resolution of medical malpractice.

關鍵字

醫療糾紛 ； 實證研究 ； 訴訟 ； 頻率 ； 補償

並列摘要

The first nationwide survey of physicians' experiences associated with medical malpractice in Taiwan was conducted by Dr. Rong-Chi Chen et al. in 1991. Since medical and social environments have changed dramatically in the past years, we repeated the same survey in 2005 to investigate the current status and compared the difference between 1991 and 2005. In the end of 2004, 33,036 physicians registered in Taiwan Medical Association. Totally, 6,602 questionnaires were sent effectively and 678 physicians responded. The response rate was 10.3%. The samples had similar demographic characteristics with the mother population. We found the higher prevalence of female patients (54.4%), patients who were dead (39.9%) or without body injury at all (31.2%), patients between 21-30 and 31-40 years of age among the malpractice cases. We also found female patients, patients who were dead or with severe body injury were associated with significantly higher compensation (P=0.003 and P＜0.0001 respectively). Patients between 21-40 years of age (OR=3.17, P=0.007), or patients who were dead (OR=1.32, P=0.024) were associated with higher chance of litigation. Once patients did not have body injury or only mild body injury, there was no chance to win a lawsuit. The chances for patients or family to win in a trial were 11.1% and 15.0% respectively for patients with severe body injury or dead. We found patients' characteristics were associated with the occurrence and resolution of medical malpractice.

並列關鍵字

medical malpractice ； empirical study ； litigation ； prevalence ； settlement