Mediación en el sistema público de salud: oportunidades para mejorar

Background: Mediation in healthcare is a non-adversarial process to resolve a dispute risen between patients and health providers during medical attention Aim: To characterize the mediation process taking place in the public health system in Chile, from its start until 2017. Material and Methods:...

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Autores principales: Lagos Tissie,Denisse, Bravo R.,Lidia
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000200211
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spelling oai:scielo:S0034-988720200002002112020-06-11Mediación en el sistema público de salud: oportunidades para mejorarLagos Tissie,DenisseBravo R.,Lidia Compensation and Redress Defensive Medicine Malpractice Negotiating Background: Mediation in healthcare is a non-adversarial process to resolve a dispute risen between patients and health providers during medical attention Aim: To characterize the mediation process taking place in the public health system in Chile, from its start until 2017. Material and Methods: Cross-sectional descriptive study. Under the Transparency Law, information about mediation processes between 2005 and 2017 was requested to the State Defense Council (CDE in its Spanish acronym). This data was complemented with the information available on the website of this agency. Results: Ninety four percent of the complaints filed at the CDE were deemed eligible for mediation. Only 19% of the concluded cases led to an agreement between the disputing parties. The agreements reached were mostly monetary compensation, medical assistance, and apologies/explanation of the facts. The average amount of compensation reached $14,862,088 (Chilean pesos). The most commonly claimed damage resulting from medical care was partial disability. The medical specialties more often claimed were Obstetrics and Gynecology, General Surgery, and Internal Medicine. Conclusions: The analysis of conducted mediations is a source of feedback for healthcare staff and health institutions. It would greatly contribute to prevent possible damage and medical conflicts, specially within the specialties with the most complaints. Improvements to the existing legislation are required to ensure free access for all the population.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.2 20202020-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000200211es10.4067/s0034-98872020000200211
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Compensation and Redress
Defensive Medicine
Malpractice
Negotiating
spellingShingle Compensation and Redress
Defensive Medicine
Malpractice
Negotiating
Lagos Tissie,Denisse
Bravo R.,Lidia
Mediación en el sistema público de salud: oportunidades para mejorar
description Background: Mediation in healthcare is a non-adversarial process to resolve a dispute risen between patients and health providers during medical attention Aim: To characterize the mediation process taking place in the public health system in Chile, from its start until 2017. Material and Methods: Cross-sectional descriptive study. Under the Transparency Law, information about mediation processes between 2005 and 2017 was requested to the State Defense Council (CDE in its Spanish acronym). This data was complemented with the information available on the website of this agency. Results: Ninety four percent of the complaints filed at the CDE were deemed eligible for mediation. Only 19% of the concluded cases led to an agreement between the disputing parties. The agreements reached were mostly monetary compensation, medical assistance, and apologies/explanation of the facts. The average amount of compensation reached $14,862,088 (Chilean pesos). The most commonly claimed damage resulting from medical care was partial disability. The medical specialties more often claimed were Obstetrics and Gynecology, General Surgery, and Internal Medicine. Conclusions: The analysis of conducted mediations is a source of feedback for healthcare staff and health institutions. It would greatly contribute to prevent possible damage and medical conflicts, specially within the specialties with the most complaints. Improvements to the existing legislation are required to ensure free access for all the population.
author Lagos Tissie,Denisse
Bravo R.,Lidia
author_facet Lagos Tissie,Denisse
Bravo R.,Lidia
author_sort Lagos Tissie,Denisse
title Mediación en el sistema público de salud: oportunidades para mejorar
title_short Mediación en el sistema público de salud: oportunidades para mejorar
title_full Mediación en el sistema público de salud: oportunidades para mejorar
title_fullStr Mediación en el sistema público de salud: oportunidades para mejorar
title_full_unstemmed Mediación en el sistema público de salud: oportunidades para mejorar
title_sort mediación en el sistema público de salud: oportunidades para mejorar
publisher Sociedad Médica de Santiago
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000200211
work_keys_str_mv AT lagostissiedenisse mediacionenelsistemapublicodesaludoportunidadesparamejorar
AT bravorlidia mediacionenelsistemapublicodesaludoportunidadesparamejorar
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