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. 1975 Mar;122(3):262–270.

No-Fault Malpractice Insurance

Proximate Cause and the Quality of Medical Care

J W Bush 1,2,3, M M Chen 1,2,3, A S Bush 1,2,3
PMCID: PMC1129702  PMID: 1146300

Abstract

No-fault medical malpractice insurance has been proposed as an alternative to the present tort liability approach. Statistical examination of the concept of proximate cause reveals not only that the question of acceptable care, and therefore of fault, is unavoidable in identifying patients deserving compensation, but also that specifying fault in an individual case is scientifically untenable. A simple formula for a Coefficient of Causality clarifies the question of proximate cause in existing trial practices and suggests that many of the threats associated with malpractice suits arise from the structure of the tort-insurance system rather than from professional responsibility for medical injury. The concepts could provide the basis for a revised claims and compensation procedure.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bush J. W., Zaremba J. Estimating health program outcomes using a Markov equilibrium analysis of disease development. Am J Public Health. 1971 Dec;61(12):2362–2375. doi: 10.2105/ajph.61.12.2362. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Flashner B. A., Reed S., Coburn R. W., Fine P. R. Professional standards review organizations. Analysis of their development and implementation based on a preliminary review of the Hospital Admission and Surveillance Program in Illinois. JAMA. 1973 Mar 26;223(13):1473–1484. doi: 10.1001/jama.223.13.1473. [DOI] [PubMed] [Google Scholar]
  3. Patrick D. L., Bush J. W., Chen M. M. Toward an operational definition of health. J Health Soc Behav. 1973 Mar;14(1):6–23. [PubMed] [Google Scholar]
  4. Welch C. E. Professional Standards Review Organizations--problems and prospects. N Engl J Med. 1973 Aug 9;289(6):291–295. doi: 10.1056/NEJM197308092890604. [DOI] [PubMed] [Google Scholar]

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