Aspects of international experience in policy implementation regarding medical responsibility in obstetrics and gynecology: A literature review
DOI:
https://doi.org/10.37800/RM.1.2023.16-24Keywords:
medical error, obstetrics and gynecology, medical responsibility, judicial compensation, occupational liability insuranceAbstract
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.
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