e-journal
THE EFFECT OF UNIVERSAL HEALTH INSURANCE ON MALPRACTICE CLAIMS: THE JAPANESE EXPERIENCE
ABSTRACT
Japanese patients file relatively few medical malpractice claims. Most scholars try
to explain this phenomenon by identifying ‘‘faults’’ in the Japanese judicial system.
Largely, the faults they identify do not exist. Instead, a substantial part of the reason
for the malpractice claiming patterns may lie in the national health insurance
system. In order to contain the cost of this system, the government suppresses
the price it pays for the technologically most sophisticated procedures. Predictably
as a result, Japanese doctors have focused instead on more rudimentary
care. Yet, for reasons common to many societies, Japanese patients are less apt
to sue over rudimentary care. They are more likely to sue over sophisticated
care. In part, Japanese patients may bring relatively few malpractice suits because
the government has (for reasons of cost) suppressed the volume of the services
(namely, highly sophisticated services) that would otherwise generate the most
malpractice claims. I explore this issue with a dataset covering all malpractice
suits that generated a published district court opinion from 1995 to 2004.
Tidak ada salinan data
Tidak tersedia versi lain