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No-fault patient compensation for medical malpractice in Thailand: option or not? |
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| รหัสดีโอไอ | |
| Creator | Prasutr Thawornchaisi |
| Title | No-fault patient compensation for medical malpractice in Thailand: option or not? |
| Contributor | Archie A. Alexander |
| Publisher | Nakhon Pathom Rajabhat University |
| Publication Year | 2562 |
| Journal Title | Interdisciplinary Research Review |
| Journal Vol. | 14 |
| Journal No. | 5 |
| Page no. | 47 |
| Keyword | No-fault, medical malpractice |
| URL Website | http://dept.npru.ac.th |
| Website title | สถาบันวิจัยและพัฒนา มหาวิทยาลัยราชภัฏนครปฐม |
| ISSN | 2697-522X |
| Abstract | Thailand and its ASEAN partners, like many countries, employ strategies to provide quality care. They also face challengesfrom unsafe and negligent care, which may create transactions costs for their healthcare (e.g. defensive medicine) and legalsystems (e.g. claims, litigation, and payouts). Like many countries, Thailand adopts traditional and/or nontraditional (e.g. nofaultpatient compensation system (NFPCS)) tort reforms to limit these costs. Attempts to enact NFPCS usually fail. Thailandfailed to enact a NFPCS through its Law on Health Service A ected Person Protection in 2007. To learn why NFPCS adoptione orts fail, the authors conducted a modified scoping review of the literature employing electronic, English keyword-basedArksey and O'Malley and PICOTS search of public (Google, Google Scholar, EBSCO, and Medline) and private (Lexis)databases. Review yielded 105 reviewable NFPCS publications, which revealed 9 countries and 2 U.S states (Florida andVirginia) adopted general (N = 6) or limited (N = 5) NFPCS schemes. After 2000, 5 countries (Canada, England, Ireland,Scotland, and Thailand) and 6 US States (Georgia, Maine, Maryland, Montana, New Hampshire, and Tennessee) attempted andfailed. Conditions (e.g. reasons or factors) favoring or disfavoring adoption) included concerns for: (1) fairness of compensationamounts versus judicial awards, (2) excessive NFPCS costs, (3) system-based tort reform preferences, and (4) professional(medical and legal) association resistances. In conclusion, a minority of countries and US states currently maintain successfulNFPCSs. NFPCS adoption remains a challenge worldwide, especially if the medical and legal professions oppose adoption. |
