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Published Online: 1 January 2011

Reforming Malpractice: The Prospects for Change

Abstract

Previous efforts to change the U.S. medical malpractice system have involved such initiatives as time limits on filing claims, caps on noneconomic damages, and limiting attorneys' fees. This column briefly reviews such past efforts and describes several new approaches. They include programs that encourage prompt disclosure of errors and offers of compensation, efforts to mediate complaints outside the courts, and use of administrative processes to adjudicate claims. “No-fault” systems, such as those in New Zealand, Sweden, and Denmark, may be most likely to satisfy the interests of both patients and physicians but may not be politically acceptable in the United States. (Psychiatric Services 62:6–8, 2011)

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Cover: View Across Frenchman's Bay From Mt. Desert Island, After a Squall, by Thomas Cole, 1845. Oil on canvas, 38 × 62 inches. Cincinnati Art Museum, gift of Alice Scarborough.
Psychiatric Services
Pages: 6 - 8
PubMed: 21209291

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Published online: 1 January 2011
Published in print: January 2011

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Paul S. Appelbaum, M.D.
Dr. Appelbaum, who is editor of this column, is the Elizabeth K. Dollard Professor of Psychiatry, Medicine and Law, Department of Psychiatry, Columbia University.

Notes

Send correspondence to Dr. Appelbaum at New York State Psychiatric Institute, 1051 Riverside Dr., Unit 122, New York, NY 10032 (e-mail: [email protected]).

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