Reforms: What Can Be Done
Reforms: What Can Be Done
This chapter focuses on public policy reforms that show promise in terms of improving quality of care and determining injuries in health care settings. It recommends locating insurance coverage with the hospital as the insuring unit for all care delivered within its walls. Much of the loss is incurred in hospital settings. Certainly the high premiums in such specialties as obstetrics/gynecology and neurosurgery reflect the medical malpractice risk from care delivered at hospitals. Nevertheless, even though physicians would be covered for the care they deliver in hospital inpatient and outpatient facilities, they would still purchase medical malpractice coverage for services delivered in their own practices. Enterprise liability with the hospital as the enterprise is also an attractive option, but it is a somewhat more radical change that may face greater resistance. Under enterprise liability, only the enterprise (the hospital) would be sued.
Keywords: public policy reform, medical practice insurance, quality of care, insurance coverage, hospitals, enterprise liability
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