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Five-year results of no-fault compensation related to childbirth injuries in Taiwan.
Huang, Ming-Chao; Hsieh, Ching-Hung; Su, Tsung-Hsien; Shih, Chung-Liang.
Afiliação
  • Huang MC; Department of Obstetrics and Gynecology, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan; Department of Medicine, MacKay Medical College, New Taipei City, Taiwan; Mackay Medicine, Nursing, and Management College, Taipei, Taiwan.
  • Hsieh CH; Mackay Medicine, Nursing, and Management College, Taipei, Taiwan; Department of Obstetrics and Gynecology, Lee Women's Hospital, Taichung, Taiwan.
  • Su TH; Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan.
  • Shih CL; Ministry of Health and Welfare, Taiwan. Electronic address: md01@mohw.gov.tw.
Taiwan J Obstet Gynecol ; 61(1): 102-109, 2022 Jan.
Article em En | MEDLINE | ID: mdl-35181016
ABSTRACT

OBJECTIVE:

Increasing obstetric medical litigations had great impacts in health care system resulted in lower recruitment of residents and higher medical cost of defensive medicine in Taiwan. In order to reduce medical litigation, the "Childbirth Accident Emergency Relief Act" was implemented in June 2016. This study presented five-year results of a novel childbirth accident compensation system. MATERIALS AND

METHODS:

The purpose of the Relief Act was to establish a national relief system to ensure timely relief, reduce medical disputes, promote the partnership between patient and medical personnel. The compensations included maximal 2 million NTD for maternal death, maximal 0.3 million NTD for neonatal and fetal deaths, and 3, 2, and 1.5 million NTD for maternal or neonatal profound, severe, and moderate disabilities, respectively. Puerperal hysterectomy was included with maximal 0.8 million NTD compensation.

RESULTS:

Since June 30, 2016 to June 30, 2021, there were 1340 applications reviewed by Committee and 1258 were approved with total relief of 744.7 million NTD (26.6 million USD) with approve rate of 93.9%. It took an average of 109.8 days to start application from childbirth and 102.4 days to get compensation from application. 66.1% of accident victims agreed this system can restore doctor-patient relationship by immediate care and assistance from medical institutions.

CONCLUSION:

The Relief Act is the first government leading compensation system to establish a national relief system. It was enacted to reduce medical disputes, promote the partnership between patient and medical personnel, and enhance health and safety of women during childbirth. A no-fault compensation would be an efficient alternative disputes resolution to childbirth accidents.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Relações Médico-Paciente / Traumatismos do Nascimento / Erros Médicos / Dissidências e Disputas / Compensação e Reparação / Imperícia Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Relações Médico-Paciente / Traumatismos do Nascimento / Erros Médicos / Dissidências e Disputas / Compensação e Reparação / Imperícia Idioma: En Ano de publicação: 2022 Tipo de documento: Article