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Dispute cases related to pain management in Korea: analysis of Korea Medical Dispute Mediation and Arbitration Agency data

机译:与韩国疼痛管理有关的争议案例:韩国医学纠纷调解和仲裁机构数据分析

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Background Various developments in imaging techniques, interventional procedures, and medications for pain management have beneficial consequences. However, the nature of pain management often results in physicians becoming involved in medico-legal disputes with patients who purposely or accidentally bring litigation. Methods Data on medical disputes cases related to pain management were collected and analyzed through the Korea Medical Dispute Mediation and Arbitration Agency from 2012 to 2016. Results In total, we identified 210 public-disclosed cases; of these, we identified 36 cases related to pain management. The department of orthopedics (n = 9, 25%) was the most related to these pain management cases. Pain management was most commonly offered for pain in the lumbar region (n = 13, 37%), lower extremities (n = 12, 34%), and for infection (n = 7, 19%). The time spent resolving disputes ranged from 8.0 to 17.5 months and the final settlement amount ranged from 1,800,000 to 15,000,000 Korean won. Causal relationships and medical malpractice were the most common controversial subjects of legal debate. Conclusions Various characteristics of medical disputes related to pain management in Korea were identified. Information regarding medical disputes in pain management should be available to help prevent further disputes and litigation, which is also useful to both patients and pain physicians. Guidelines and recommendations for pain management are needed, especially those focused on medico-legal cases.
机译:背景技术成像技术,介入手术和疼痛管理药物的各种发展具有有益的后果。然而,疼痛管理的性质往往导致医生与故意或意外引起诉讼的患者参与医疗法律纠纷。方法采集和分析2012年至2016年韩国医学纠纷调解和仲裁机构与疼痛管理有关的医疗纠纷案例的数据。结果总计,我们确定了210个公开披露的案件;其中,我们确定了与疼痛管理有关的36例。骨科(n = 9,25%)与这些疼痛管理案例最有关。腰部区域(n = 13,37%),下肢(n = 12,34%)和感染(n = 7,19%),最常为疼痛管理最常见于疼痛管理。解决解决争端的时间范围从8.0到17.5个月,最终结算金额为1,800,000至15,000,000韩元。因果关系和医疗事故是法律辩论最常见的有争议主题。结论鉴定了韩国疼痛管理相关的各种特征。应提供有关止痛药中医疗纠纷的信息,有助于防止进一步的争端和诉讼,这对患者和疼痛的医生也有用。需要对疼痛管理的准则和建议,特别是那些专注于医疗法律案件的准则。

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