Literature DB >> 33717302

The need for healthcare reforms: is no-fault liability the solution to medical malpractice?

Shivkrit Rai1, Vishwas H Devaiah1.   

Abstract

Healthcare reforms in India have been a much-debated issue in the recent past. While the debate has focused mainly on the right to healthcare, another by-product that has evolved out of the debate was the current problem of medical malpractice and the healthcare law. The last decade has seen an increase in the healthcare facilities in the country. This, however, has come with a bulk of medical error cases which the courts have entertained. According to reports, there has been an increase in medical litigation cases by 400% in the last decade. There are about 5.2 million cases of medical error in the country every year. While there exists a standard legal system in the country which entertains such complaints of medical malpractice, the attempt by regulators and medical practitioners should be to reduce these cases. This paper seeks to analyze the extent to which medical malpractice cases affect consumers (patients). It analyzes the existing medical liability system which has mainly evolved through the jurisprudence laid down by the English courts and critiques it. It also looks into the major reasons for such medical mishaps. Authors argue that a "No-Fault" system may give better outcomes. They analyze this by looking at the no-fault liability model implemented in New Zealand. Narratives of no-fault liability being implemented in India have also been used. These are showcased from instances of Motor Vehicles Act, 1988, and Clinical Trial regulations. It is also argued that a by-product of a no-fault liability system is stringent regulations which are used to reduce the possibility of medical mishaps altogether. Lastly, the possible problems of the no-fault liability system are discussed in the paper. © National University of Singapore and Springer Nature Singapore Pte Ltd. 2019.

Entities:  

Keywords:  India; Medical liability; Medical malpractice; No-fault system

Year:  2019        PMID: 33717302      PMCID: PMC7747425          DOI: 10.1007/s41649-019-00081-7

Source DB:  PubMed          Journal:  Asian Bioeth Rev        ISSN: 1793-9453


  12 in total

1.  Regulating the private health care sector: the case of the Indian Consumer Protection Act.

Authors:  R Bhat
Journal:  Health Policy Plan       Date:  1996-09       Impact factor: 3.344

2.  An introduction to medical malpractice in the United States.

Authors:  B Sonny Bal
Journal:  Clin Orthop Relat Res       Date:  2008-11-26       Impact factor: 4.176

3.  New Zealand's 2005 'no-fault' compensation reforms and medical professional accountability for harm.

Authors:  Katharine Wallis
Journal:  N Z Med J       Date:  2013-03-15

4.  India's regulatory reforms on compensation for clinical trial injuries and deaths: urgent need for revisiting.

Authors:  Jerome Amir Singh
Journal:  Indian J Med Ethics       Date:  2013 Jul-Sep

5.  The role of clinical guidelines in medical negligence litigation: has India made the shift?

Authors:  Malak Bhatt
Journal:  Indian J Med Ethics       Date:  2009 Jul-Sep

6.  Do the poor sue more? A case-control study of malpractice claims and socioeconomic status.

Authors:  H R Burstin; W G Johnson; S R Lipsitz; T A Brennan
Journal:  JAMA       Date:  1993-10-13       Impact factor: 56.272

7.  No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety.

Authors:  Marie Bismark; Ron Paterson
Journal:  Health Aff (Millwood)       Date:  2006 Jan-Feb       Impact factor: 6.301

8.  Medical negligence: Coverage of the profession, duties, ethics, case law, and enlightened defense - A legal perspective.

Authors:  M S Pandit; Shobha Pandit
Journal:  Indian J Urol       Date:  2009-07

9.  Compensation conundrum.

Authors:  Shoibal Mukherjee
Journal:  Perspect Clin Res       Date:  2012-01

10.  Defensive medicine: a bane to healthcare.

Authors:  M Sonal Sekhar; N Vyas
Journal:  Ann Med Health Sci Res       Date:  2013-04
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