Aspects of international experience in policy implementation regarding medical responsibility in obstetrics and gynecology: A literature review

Authors

  • М.А. Alchimbayeva
  • Т.К. Rakhypbekov
  • B.B. Askarov
  • N.A. Shanazarov
  • F.N. Yerzhanova
  • S.D. Kisikova
  • G.S. Bazarova
  • А.А. Baimagambetova
  • Sh.U. Aliyeva
  • O.P. Tsigengagel НАО "Атырауский университет им. Х.Досмухамедова"

DOI:

https://doi.org/10.37800/RM.1.2023.16-24

Keywords:

medical error, obstetrics and gynecology, medical responsibility, judicial compensation, occupational liability insurance

Abstract

Relevance: Obstetrics and gynecology relate to the well-being of both the fetus and the mother, so the professional responsibility is doubled in most clinical cases. Around the world, there has been an increase in lawsuits against medical professionals in various specialties. Obstetrics and gynecology are among the fields associated with a high risk of adverse events. In this regard, healthcare providers and maternity hospitals should carefully consider the aspects of medical responsibility. This paper reviews evidence that evaluates or compares the effectiveness of medical accountability reforms and quality-of-care improvement strategies related to OB/GYN litigation.
The study aimed to study the available literature on the experience of effective medical liability reform in different countries to upgrade strategies for improving the quality of judicial compensation for medical errors in obstetrics and gynecology.
Materials and Methods: A search was made for scientific publications in the search engines PubMed, Scopus, Google Scholar, and e-Library in English, Kazakh, and Russian by keywords and medical thematic headings among materials published from 2012 to 2022. The review included 18 articles.
Results: This review summarizes the experience of initiatives to improve the medical liability litigation system, including no-fault approaches, patient safety policy initiatives, communication and conflict resolution, limits on litigation and attorneys’ fees, an alternative system of payment and medical liability, as well as restrictions on the right to reimbursement of legal costs.
Conclusion: This literature review demonstrated that government strategies in developing countries to reduce medical liability litigation are strongly associated with a reduced frequency of adverse events and malpractice in obstetrics and gynecology.

References

Calikoglu E.O., Aras A. The article title is efensive medicine among different physicians’ disciplines: A descriptive cross-sectional study // J. Forensic Legal Med. – 2020. -Vol. 73(7). – Р. 678-709. https://doi.org/10.1016/j.jflm.2020.101970

Chegini Z., Kakemam E., Asghari Jafarabadi M., Janati A. The impact of patient safety culture and the leader coaching behaviour of nurses on the intention to report errors: A cross-sectional survey // BMC Nursing. – 2020. – Vol.19 (1). – P.123-127. https://doi.org/10.1186/s12912-020-00472-4

Mushinski D., Zahran S., Frazier A. Physician behaviour, malpractice risk and defensive medicine: An investigation of cesarean deliveries // Health Econ., Policy Law. – 2022. -Vol. 17(3). – P. 247-265. https://doi.org/10.1017/S1744133120000432

Tsigengagel O., Glushkova N., Khismetova Z., Korostova Ye., Kussainova D., Sovetbekov D., Alchimbayeva M., Rakhypbekov T. The public’s views on responsibility for medical errors in the Republic of Kazakhstan // Eur. J. Public Health. – 2021. – Vol. 31(Suppl._3). – P. iii507-iii508. https://doi.org/10.1093/eurpub/ckab165.445

Kovacheva V.P., Brovman E.Y., Greenberg P., Song E., Palanisamy A., Urman R.D. A Contemporary Analysis of Medicolegal Issues in Obstetric Anesthesia between 2005 and 2015 // Anesth. Analg. – 2019. – Vol. 128(6). – P. 1199-1207. https://doi.org/10.1213/ANE.0000000000003395

Johansen L.T., Braut G.S., Acharya G., Andresen J.F., Øian P. Adverse events reporting by obstetric units in Norway as part of their quality assurance and patient safety work: an analysis of practice // BMC Health Serv. Res. – 2021. – Vol. 21 (1). – P. 931. https://doi.org/10.1186/s12913-021-06956-6

Viscusi W.K. Medical malpractice reform: What works and what Doesn’t // Denver Law Review. – 2019. – Vol. 96 (4). – P. 775-791. https://ssrn.com/abstract=3379720

Федосеев Г.Б. Врачебные ошибки: характер, причины, последствия, пути предупреждения // Терапия. – 2018. – №5. – С. 109-115. https://dx.doi.org/10.18565/therapy.2018.5.109-115

Seabury S.A., Helland E., Jena A.B. Medical malpractice reform: Noneconomic damages caps reduced payments 15 percent, with varied effects by specialty // Health Affairs. – 2014. – Vol. 33 (11). – P. 2048-2056. https://doi.org/10.1377/hlthaff.2014.0492

Liu J., Hyman D. A. The impact of medical malpractice reforms // Ann. Rev. Law Soc. Sci. – 2020. – Vol. 16. – P. 405-419. https://doi.org/10.1146/annurev-lawsocsci-060120-093911

Cardoso R., Zarin., Nincic V., Barber S. L., Gulmezoglu A. M., Wilson C., Wilson K., McDonald H., Kenny M., Warren R., Straus S. E., Tricco A. C. Evaluative reports on medical malpractice policies in obstetrics: A rapid scoping review // Syst. Rev. – 2017. – Vol. 6(1). – P. 23-46. https://doi.org/10.1186/s13643-017-0569-5

Hanganu B., Iorga M., Muraru I.D., Ioan B.G. Reasons for and facilitating factors of medical malpractice complaints. What can be done to prevent them? // Medicina (Lithuania). – 2020. – Vol. 56 (6). – P. 259. https://doi.org/10.3390/medicina56060259

Brennen R., Sherburn M., Rosamilia A. Development, implementation and evaluation of an advanced practice in continence and women’s health physiotherapy model of care // Aust. N. Z. Obstet. Gynaecol. – 2019. – Vol. 59(3). – P. 450-456. https://doi.org/10.1111/ajo.12974

Gimbel R. W., Pirrallo R. G., Lowe S. C., Wright D. W., Zhang L., Woo M. J., Fontelo P., Liu F., Connor Z. Effect of clinical decision rules, patient cost and malpractice information on clinician brain CT image ordering: A randomized controlled trial // BMC Med. Inform. Decis. Making. – 2018. – Vol.18 (1). – P. 15-17. https://doi.org/10.1186/s12911-018-0602-1

PricewaterhouseCoopers’ Health Research Institute. The price of excess: Identifying waste in healthcare spending. http://www.cabarrus.biz/clientuploads/PWC_PriceofExcess_2008.pdf. 27.03.2023

Manchikanti L, Helm S, Benyamin R.M., Hirsch J.A. Evolution of us health care reform // Pain Physician. – 2017. – Vol. 20(3). – P. 107-110. https://doi.org/10.36076/ppj.2017.110

Tsigengagel O., Glushkova N., Mammadov V., Khismetova Z., Gazaliyeva M., Ibrayeva Z., Semenova Y. Epidemiology of Offences against Health in the Republic of Kazakhstan: 2015-2019 // J. Law Med. – 2021. – Vol. 28 (2). – P. 492-502. https://pubmed.ncbi.nlm.nih.gov/33768754/

Кодекс Республики Казахстан. Об административных правонарушениях: утв. 5 июля 2014 года, № 235-V ЗРК [Kodeks Respubliki Kazaxstan. Ob administrativnyx pravonarusheniyax: utv. 5 iyulya 2014 goda, № 235-V ZRK (in Russ.)]. https://adilet.zan.kz/rus/docs/K1400000235

Уголовный кодекс Республики Казахстан: утв. 3 июля 2014 года, № 226-V ЗРК [Ugolovnyj kodeks Respubliki Kazahstan: utv. 3 ijulja 2014 goda, № 226-V ZRK (in Russ.)]. https://adilet.zan.kz/rus/docs/K1400000226.

Алчимбаева М.А., Рахыпбеков Т.К., Аскаров Б.Б., Турсынбекова А.Е., Хисметова З.А., Самарова У.С., Атабаева А.К., Дюсупова А.А., Цигенгагель О.П. Медико-правовые риски ответственности в системе здравоохранения в период пандемии COVID-19 // Наука и Здравоохранение. – 2021. – № 6(23). – C. 6-14 [Alchimbaeva M.A., Raxypbekov T.K., Askarov B.B., Tursynbekova A.E., Xismetova Z.A., Samarova U.S., Atabaeva A.K., Dyusupova A.A., Cigengagel’O.P. Mediko-pravovye riski otvetstvennosti v sisteme zdravooxraneniya v period pandemii COVID-19 // Nauka i Zdravooxranenie. – 2021. – № 6(23). – S. 6-14 (in Russ.)]. https://newjournal.ssmu.kz/upload/iblock/149/_-_-_6_23_2021.pdf

Vincent C., Phillips A., Young M. Why do people sue doctors? A study of patients and relatives taking legal action // Lancet. – 1994. – Vol. 343 (8913). – P. 1609-1613. https://doi.org/10.1016/S0140-6736(94)93062-7

Цигенгагель О.П., Глушкова Н.Е. Медицинская ошибка как медико-социальная проблема // Вестник ЮКМА. – 2020. – №4(91), том 1. – С. 67-68 [Cigengagel’ O.P., Glushkova N.E. Medicinskaya oshibka kak mediko-social’naya problema // Vestnik YuKMA. – 2020. – №4(91), tom 1. – S. 67-68 (in Russ.)]. https://lib.ukma.kz/wp-content/uploads/2021/03/2020_4-1.pdf

Agarwal R., Gupta A., Gupta S. The impact of tort reform on defensive medicine, quality of care, and physician supply: A systematic review // Health Serv. Res. – 2019. – Vol. 54(4). – P. 851-859. https://doi.org/10.1111/1475-6773.13157

Wallace E., Lowry J., Smith S.M., Fahey T. The epidemiology of malpractice claims in primary care: A systematic review // BMJ Open. – 2013. – Vol. 3(7). – P. e002929. https://doi.org/10.1136/bmjopen-2013-002929

Dall T. Social work professionals’ management of institutional and professional responsibilities at the micro-level of welfare-to-work // Eur. J. Soc. Work. – 2020. – Vol. 23 (1). – P. 30-42. https://doi.org/10.1080/13691457.2018.1476330

Lippke S., Wienert J., Keller F. M., Derksen C., Welp A., Kötting L., Hofreuter-Gätgens K., Müller H., Louwen F., Weigand M., Ernst K., Kraft K., Reister F., Polasik A., Huener Nee SeemannB., Jennewein L., Scholz C., Hannawa A. Communication and patient safety in gynecology and obstetrics - Study protocol of an intervention study // BMC Health Serv. Res. – 2019. – Vol. 19(1). – P. 908. https://doi.org/10.1186/s12913-019-4579-y

Yu X. Medical Disputes, Iatrogenic Injury, Malpractice Litigation, and Patient Compensation: Empirical Evidence. In: Preventing Medical Malpractice and Compensating Victimised Patients in China: A Law and Economics Perspective. – Intersentia, 2018. – P. 115-172. https://doi.org/10.1017/9781780687339.005

Pegalis S.E., Bal B. S. Closed medical negligence claims can drive patient safety and reduce litigation // Clin. Orthop. Relat. Res. – 2012. – Vol. 470. – P. 1398-1404. https://doi.org/10.1007/s11999-012-2308-5

Santos P., Ritter G.A., Hefele J.L., Hendrich A., McCoy C.K. Decreasing intrapartum malpractice: Targeting the most injurious neonatal adverse events. Journal of healthcare risk management // J. Healthcare Risk Manag. – 2015. – Vol. 34(4). – P. 20-27. https://doi.org/10.1002/jhrm.21168

Weiss D., Fell D. B., Sprague A. E., Walker M. C., Dunn S., Reszel J., Peterson W. E., Coyle D., Taljaard M. Effect of implementation of the MORE OB program on adverse maternal and neonatal birth outcomes in Ontario, Canada: A retrospective cohort study // BMC Pregn. Childbirth. – 2019. – Vol. 19(1). – P. 151. https://doi.org/10.1186/s12884-019-2296-5

Griggs B., Childs T., Birkinshaw J., Badrinath P. Factors associated with wide variation in clinical litigation rates across acute NHS trusts in England: A cross-sectional analysis // Int.. J. Qual. Health Care. – 2021. – Vol. 33(1). – P. mzaa141. https://doi.org/10.1093/intqhc/mzaa141

Ross N.E., Newman W.J. The role of apology laws in medical malpractice // JAAPL. – 2021. – Vol. 49(3). – P. 406-414. https://doi.org/10.29158/JAAPL.200107-20

Kachalia A., Kaufman S. R., Boothman R., Anderson S., Welch K., Saint S., Rogers M. A. Liability claims and costs before and after implementation of a medical error disclosure program // Ann. Intern. Med. – 2010. – Vol. 153(4). – P. 213-221. https://doi.org/10.7326/0003-4819-153-4-201008170-00002

Luo J., Chen H., Grace M. Medicaid expansion, tort reforms, and medical liability costs // J. Risk Insur. – 2022. – Vol - 89(3). – P. 789-821. https://doi.org/10.1111/jori.12376

Meng R., Li J., Zhang Y., Yu Y., Luo Y., Liu X., Zhao Y., Hao Y., Hu Y., Yu C. Evaluation of patient and medical staff satisfaction regarding health care services in Wuhan public hospitals // Int. J. Env. Res. Pub. Health. – 2018. – Vol. 15(4). – P. 147-156. https://doi.org/10.3390/ijerph15040769

Basheer R., Moufarrej S., Badsha H. AB1169 Making a Case for Signed Written Informed Consent for Rheumatology Patients Started on Disease Modifying Anti-Rheumatic Drugs (DMARDS) in a Rheumatology Clinic // Ann. Rheum. Dis. – 2015. – Vol. 74 (Suppl 2). – P. 1293-1294. https://doi.org/10.1136/annrheumdis-2015-eular.1556

Gordon J.A. Medical liability reform – When? // Connecticut Med. – 2017. – Vol. 81(4). – P. 249-251. https://ctmed.csms.org/publication/?i=456831&p=59

Berry M.D., Polking E. Medical Malpractice and Tort Reform // Issue brief (Health Policy Tracking Service). – 2015. – P. 1-76. https://eurekamag.com/research/058/286/058286405.php

Studdert D.M., Yang Y.T., Mello M.M. Are damages caps regressive? A study of malpractice jury verdicts in California // Health Affairs. – 2004. – Vol. 23(4). – P. 54-67. https://doi.org/10.1377/hlthaff.23.4.54

World Health Organization. WHO Statement on Caesarean Section Rates Caesarean Section Rates at the Hospital Level and the Need for a Universal Classification System. – 2019. – Vol. 66(9). – P. 847–966. https://www.mendeley.com/catalogue/c7f4ce68-ffd6-3882-8b09-de8873bc1b4e/

Ethiraj G., Ramachandra A.C., Rajan S. Induction of Labor and Risk for Emergency Cesarean Section in Women at Term Pregnancy // J. Clin. Gynecol. Obstet. – 2019. – Vol. 8(1). – P. 17-20. https://doi.org/10.14740/jcgo433w

Born P.H., Karl J.B. The Effect of Tort Reform on Medical Malpractice Insurance Market Trends // J. Empir. Leg. Stud. – 2016. – Vol. 13(4). – P. 718-755. https://doi.org/10.1111/jels.12131

McMichael B.J., Van Horn R.L., Viscusi W.K. “Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk // Stanford Law Rev. – 2019. – Vol. 71(2). – P. 341-409. https://pubmed.ncbi.nlm.nih.gov/30883076/

Yu H., Greenberg M., Haviland A. The Impact of State Medical Malpractice Reform on Individual-Level Health Care Expenditures // Health Serv. Res. – 2017. – Vol. 52(6). – P. 2018-2037. https://doi.org/10.1111/1475-6773.12789

Childers R.G. Tort reform: Do details matter? // Health Econ., Policy Law. – 2021. – Vol.16(3). – P. 308-324. https://doi.org/10.1017/S1744133121000025

Iizuka T. Does higher malpractice pressure deter medical errors? // J. Law Econ. – 2013. – Vol. 56(1). – P. 161-188. https://doi.org/10.1086/666977

Minami C.A., Sheils C.R., Pavey E., Chung J.W., Stulberg J.J., Odell D.D., Yang A.D., Bentrem D.J., Bilimoria K.Y. Association Between State Medical Malpractice Environment and Postoperative Outcomes in the United States // J. Am. Coll. Surg. – 2017. – Vol. 224(3). – P. 310-318.e2. https://doi.org/10.1016/j.jamcollsurg.2016.12.012

Published

2023-03-31

How to Cite

[1]
Alchimbayeva М. , Rakhypbekov Т., Askarov Б., Shanazarov Н., Yerzhanova Ф., Kisikova С., Bazarova Г., Baimagambetova А., Aliyeva Ш. and Tsigengagel О. 2023. Aspects of international experience in policy implementation regarding medical responsibility in obstetrics and gynecology: A literature review. Reproductive Medicine. 1(54) (Mar. 2023), 16–24. DOI:https://doi.org/10.37800/RM.1.2023.16-24.