Publication: Responsabilidad por pérdida de oportunidad asistencial en patologías neurológicas en la medicina pública española
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2017-02-01
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Elsevier
Abstract
Objetivo: Analizar las sentencias condenatorias por responsabilidad derivada de pérdida de oportunidad asistencial, dictadas por la Jurisdicción Contencioso Administrativa (es decir, en la medicina pública), en las que tanto el origen de la patología a tratar como las secuelas fueron procesos neurológicos. Métodos: Se han analizado las 90 sentencias relacionadas con patologías neurológicas que hacían referencia al concepto de pérdida de oportunidad asistencial y que fueron dictadas en España desde 2003 (año de la primera sentencia) hasta mayo de 2014. Resultados: De las 90 sentencias, 52 (57,8%) fueron dictadas por error diagnóstico y 30 por tratamiento inadecuado (33,3%). Desde el año 2009 se han producido 72 (80,0%) sentencias, lo que supone más de un 300% de aumento con respecto a las 18 (20,0%) dictadas en los primeros 6 años del estudio (2003 a 2008). La mayoría de los pacientes fueron hombres (66,7%) que tuvieron secuelas (61,1%), siendo las patologías que con más frecuencia originaron la condena la encefalopatía neonatal hipóxico-isquémica (14,4%) y las lesiones medulares (14,4%). Conclusiones: La actividad litigante por pérdida de oportunidad asistencial en patologías neurológicas, en la medicina pública española, ha aumentado de manera significativa estos últimos años. Las sentencias fueron dictadas fundamentalmente por error diagnóstico o por tratamiento inadecuado.
Objective: To analyse the sentences due to loss of chance that were passed by the ContentiousAdministrative Court (i.e., in public medicine), in which both the origin of the disease to be treated and the damages were neurological. Methods: We analysed the 90 sentences concerning neurological conditions that referred to the concept of loss of chance that were passed in Spain from 2003 (year of the first sentence) until May 2014. Findings: Of the 90 sentences, 52 (57.8%) were passed due to diagnostic error and 30 (33.3%), due to inadequate treatment. 72 (80.0%) of the sentences were passed from 2009 onwards, which equates to more than a 300% increase with respect to the 18 (20.0%) issued in the first six years of the study (from 2003 to 2008). Most of the patients (66.7%) were men, and a 61.1% presented sequelae. Hypoxic-ischaemic encephalopathy (14.4%) and spinal cord disorders (14.4%) were the most common conditions to lead to sentencing. Conclusions: The litigant activity due to loss of chance in neurological disease in the Spanish public healthcare system has significantly increased in the last few years. The sentences were mainly passed because of diagnostic error or inadequate treatment.
Objective: To analyse the sentences due to loss of chance that were passed by the ContentiousAdministrative Court (i.e., in public medicine), in which both the origin of the disease to be treated and the damages were neurological. Methods: We analysed the 90 sentences concerning neurological conditions that referred to the concept of loss of chance that were passed in Spain from 2003 (year of the first sentence) until May 2014. Findings: Of the 90 sentences, 52 (57.8%) were passed due to diagnostic error and 30 (33.3%), due to inadequate treatment. 72 (80.0%) of the sentences were passed from 2009 onwards, which equates to more than a 300% increase with respect to the 18 (20.0%) issued in the first six years of the study (from 2003 to 2008). Most of the patients (66.7%) were men, and a 61.1% presented sequelae. Hypoxic-ischaemic encephalopathy (14.4%) and spinal cord disorders (14.4%) were the most common conditions to lead to sentencing. Conclusions: The litigant activity due to loss of chance in neurological disease in the Spanish public healthcare system has significantly increased in the last few years. The sentences were mainly passed because of diagnostic error or inadequate treatment.
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Keywords
Sentences, Compensation, Neurology, Spain, Claims, Court, Sentencias, Compensación, Neurología, Loss of chance, Judicial sentences, Pérdida de oportunidad
Bibliographic citation
Sardinero-García, C., Santiago‐Sáez, A., Bravo-Llatas, C., Pérez, B. P., Albarrán-Juan, M. E., Labajo-González, E., & Benito‐León, J. (2017). Responsabilidad por pérdida de oportunidad asistencial en patologías neurológicas en la medicina pública española. Gaceta Sanitaria, 31(1), 30-34.