Analysis of Medical Dispute Relating to Ophthalmology in Korea Medical Dispute Mediation and Arbitration Agency. |
Min Woo Lee, Jong Joo Lee, Shi Hwan Choi |
Department of Ophthalmology, Chungnam National University School of Medicine, Daejeon, Korea. shchoi@cnu.ac.kr |
한국의료분쟁조정중재원의 안과분쟁 사례 분석 |
이민우⋅이종주⋅최시환 |
충남대학교 의과대학 안과학교실 |
Correspondence:
Shi Hwan Choi, Email: shchoi@cnu.ac.kr |
Received: 18 May 2017 • Revised: 6 July 2017 • Accepted: 23 January 2018 |
Abstract |
PURPOSE To analyze the characteristics of medical disputes relating to ophthalmology for prevention in advance. METHODS: Retrospective analyses of ophthalmic cases applied for Korea Medical Dispute Mediation and Arbitration Agency between June 2013 and September 2016. RESULTS: A total of 41 cases were analyzed. The number of cases relating to cataract were 19 (46.3%), refractive surgery 4 (9.8%), anterior segment 4 (9.8%), retina 7 (17.1%), oculoplasty 3 (7.3%), glaucoma 2 (4.9%), and miscellaneous 2 (4.9%). The specialty with the lowest mean payment of mediation per case was cataract (₩3,591,700), which has the largest number of cases, and oculoplasty was the highest mean payment per case (₩21,933,000). There were 16 cases confirmed as negligence by authenticators. Among these 16 cases, 7 (44%) were related to accident during surgery or procedure, 5 cases (31%) were insufficient explanation, and 4 cases (25%) were lack of tests which should have be performed before or after surgery. The results of mediation were agreement in 25 cases (61%), decision made by mediation department in 6 cases (15%), 7 cases were not adequate to mediate (17%), and 3 cases were canceled (7%). CONCLUSIONS: The number of cases associated with cataract was the largest. Among negligence of doctors, cases during surgery were most common, suggesting the need to explain surgical factors such as complications or side effects and the need for complete surgical records. If a medical dispute occurs, the Korea Medical Dispute Mediation and Arbitration Agency can be used to achieve an agreement. |
Key Words:
Mediation;Medical disputes;Ophthalmology |
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