ArticleInternational journal of general medicine2021
Correlation Between Malpractice Litigation and Legislation Reform in Taiwan Over a 30-Year Period.
Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Analysis of the characteristics, efficiency, and influencing factors of third-party mediation mechanisms for resolving medical disputes in public hospitals in China.BMC public health · 2024Article
- Solid Organ Transplant Litigation at One of Europe's Largest University Hospitals.Transplant international : official journal of the European Society for Organ Transplantation · 2024Article
- Fostering guardians for frontline medical disputes: a government-led medical dispute mediator training program in Taiwan.BMC health services research · 2022Article
- The Association Between Medical Liability Insurance Coverage and Medical Disturbances in Tertiary Psychiatric Hospitals in China: A National Survey.Risk management and healthcare policy · 2021Article
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Authors and funding
4 authors.
Funding
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Abstract
backgroundThe annual medical litigation rate has increased yearly since 1987 in Taiwan. Policy makers keep going medical legislation reforms. The effectiveness of legislation reforms to reduce malpractice litigation risk is uncertain.
objectiveTo determine whether medical legislation reform helps reduce the risk of medical litigation. DESIGN SETTING AND
participantsThis retrospective study used national data obtained from Ministry of Health and Welfare in Taiwan. The period analyzed was from 1987 to 2018. The annual medical litigation rate was determined, types of medical negligence litigation were compared, medical appraisal results were summarized, and the importance of medical legislation was identified.
interventionsAfter legislation reform vs before legislation reform. MEASUREMENTS: The main outcome showed trends in medical dispute assessments over time by adjusting for the general population (per 1, 000, 000 people). We established 2004 and 2012 as the 2 cut-points for further analysis of medical appraisal results due to legislation reform.
resultsWith legislation reforms, the annual medical litigation rate decreased from 26.68 cases per million people in 2012 to 16.41 cases per million people in 2018. The annual medical litigation rate declined by approximately 38% from 2012 to 2018. Medical appraisal results were malpractice cases in 22.1% before Medical Care Act (2004 Reform) compared with 18.8% from 2004 to 2012 (odds ratio [OR], 0.82; 95% CI, 0.727-0.924; p=0.001), and 6.4% after mediation system introduced in 2012 (odds ratio [OR], 0.243; 95% CI, 0.205-0.288; p<0.001).
conclusionMedical legislation reform has reduced the risk of malpractice litigation over time.
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