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La fiabilité des systèmes de santé supposent des systèmes de compensation et de prévention qui couvrent de manière appropriée la responsabilité des professionnels et des établissements de santé et limitent les mauvaises pratiques médicales. Au cours des dernières années, dans certains pays de l’OCDE, les dispositifs d’indemnisation et de prévention des dommages ont rencontré des difficultés. Celles-ci ont notamment conduit certains spécialistes et chirurgiens à quitter leur métier ou à développer une médecine « défensive » coûteuse et inutile quand elle n’est pas porteuse de risque pour les patients. Cette publication évalue les différents types de dispositifs et de réformes élaborés afin de réduire et d’indemniser plus efficacement les incidents médicaux. En tenant compte des spécificités de chaque situation domestique et en particulier des systèmes de santé, l’étude analyse également les raisons principales des difficultés rencontrées par certains de ces systèmes de compensation et de prévention. L’étude offre une série unique de suggestions ciblées pour mettre en place un dispositif d’indemnisation/prévention plus efficace pour gérer les incidents résultant d’un traitement médical.

Physicians --- Physicians' malpractice insurance --- Malpractice --- Insurance, Physicians' liability --- Liability insurance, Physicians' --- Malpractice insurance, Physicians' --- Medical malpractice insurance for physicians --- Allopathic doctors --- Doctors --- Doctors of medicine --- MDs (Physicians) --- Medical doctors --- Medical profession --- Insurance --- Medical personnel --- Medicine

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Confidence in a country’s health care system requires indemnification and deterrence systems that adequately cover liability, provide fair compensation for injury, and deter medical malpractices.  Over the last years, in many OECD countries, these systems have experienced difficulties resulting in high-risk specialty physicians and surgeons leaving the practice and the development of expensive and useless—if not risky—defensive medicine.  This publication surveys and assesses various types of mechanisms and reforms that best limit and indemnify medical accidents. Reasons for difficulties faced by some compensation and prevention regimes, given the specificities of national circumstances and in particular of health care systems, are examined. The study offers a series of unique and focused policy options for establishing more efficient indemnification and deterrence systems to cope with medical accidents.

Physicians. --- Physicians --- Physicians' malpractice insurance --- Cross-Cultural Comparison --- Malpractice --- Insurance, Liability --- Jurisprudence --- Insurance --- Culture --- Social Control, Formal --- Sociology --- Anthropology, Cultural --- Financing, Organized --- Social Sciences --- Economics --- Health Care Economics and Organizations --- Anthropology --- Health Care --- Anthropology, Education, Sociology and Social Phenomena --- Legal & Forensic Medicine --- Public Health --- Health & Biological Sciences --- Insurance, Physicians' liability --- Liability insurance, Physicians' --- Malpractice insurance, Physicians' --- Medical malpractice insurance for physicians --- Allopathic doctors --- Doctors --- Doctors of medicine --- MDs (Physicians) --- Medical doctors --- Medical profession --- Medical personnel --- Medicine

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Medical laws and legislation --- Physicians' malpractice insurance --- Medical personnel --- Patients --- Médecine --- Assurance de responsabilité médicale --- Personnel médical --- Malpractice --- Legal status, laws, etc. --- Droit --- Responsabilité professionnelle --- 368.1 --- 614.256 --- Schadeverzekering van materiele zaken --- Medische verantwoordelijkheid. Beroepsrisico's van artsen --- 368.1 Schadeverzekering van materiele zaken --- Médecine --- Assurance de responsabilité médicale --- Personnel médical --- Responsabilité professionnelle --- Insurance, Physicians' liability --- Liability insurance, Physicians' --- Malpractice insurance, Physicians' --- Medical malpractice insurance for physicians --- Insurance --- Health care personnel --- Health care professionals --- Health manpower --- Health personnel --- Health professions --- Health sciences personnel --- Health services personnel --- Healthcare professionals --- Medical manpower --- Professional employees --- Law and legislation --- Medical personnel - Malpractice - France. --- RESPONSABILITE --- DROIT DES ASSURANCES --- RESPONSABILITE MEDICALE --- MEDECIN --- CONTENTIEUX

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Physicians --- Physicians' malpractice insurance --- Torts --- Médecins --- Assurance de responsabilité médicale --- Responsabilité civile --- Malpractice --- Responsabilité professionnelle --- Insurance, Physician's liability --- -Insurance, Physician's liability --- -Torts --- -KBC0203-IVB --- 13.12 --- Civil wrongs --- Delicts --- Injuries (Law) --- Quasi delicts --- Wrongful acts --- Accident law --- Actions and defenses --- Liability (Law) --- Obligations (Law) --- Negligence --- Reasonable care (Law) --- Allopathic doctors --- Doctors --- Doctors of medicine --- MDs (Physicians) --- Medical doctors --- Medical profession --- Medical personnel --- Medicine --- -Wettelijke en contractuele aansprakelijkheid ; Geneesheren ; Veeartsen ; Apothekers ; Tandartsen ; Paramedici --- Médecins --- Assurance de responsabilité médicale --- Responsabilité civile --- Responsabilité professionnelle --- KBC0203-IVB --- Insurance, Physicians' liability --- Liability insurance, Physicians' --- Malpractice insurance, Physicians' --- Medical malpractice insurance for physicians --- Insurance --- Wettelijke en contractuele aansprakelijkheid ; Geneesheren ; Veeartsen ; Apothekers ; Tandartsen ; Paramedici --- Comparative law --- Tort and negligence --- Medical law