Responsabilidad por pérdida de oportunidad asistencial en la medicina pública española

  1. Carlos Sardinero-García 1
  2. Andrés Santiago-Sáez 2
  3. Bernardo Perea-Pérez 3
  4. M. Elena Albarrán-Juan 3
  5. Elena Labajo-González 3
  6. Julián Benito-León 4
  1. 1 Universidad Carlos III de Madrid
    info

    Universidad Carlos III de Madrid

    Madrid, España

    ROR https://ror.org/03ths8210

  2. 2 Hospital Clínico San Carlos de Madrid
    info

    Hospital Clínico San Carlos de Madrid

    Madrid, España

    ROR https://ror.org/04d0ybj29

  3. 3 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

  4. 4 Hospital Universitario 12 de Octubre
    info

    Hospital Universitario 12 de Octubre

    Madrid, España

    ROR https://ror.org/00qyh5r35

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Journal:
Revista española de medicina legal: órgano de la Asociación Nacional de Médicos Forenses

ISSN: 0377-4732

Year of publication: 2017

Volume: 43

Issue: 1

Pages: 5-12

Type: Article

DOI: 10.1016/J.REML.2016.06.003 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista española de medicina legal: órgano de la Asociación Nacional de Médicos Forenses

Abstract

Introduction The loss of chance is a legal concept that has gained ground in recent years as a decisive criterion for the assessment of healthcare-related bodily harm. In this paper, we analyse the convictions issued by the contentious-administrative jurisdiction (public medicine), in cases in which, due to a lack of diligence by the professional, the patient lost the possibility of a diagnosis or adequate treatment. Material and methods We selected the sentences related to Spanish public medicine, which referred to the concept of loss of chance that were issued until May 2014. Results Of the 519 analysed sentences, 340 (66.5%) were due to misdiagnosis and 138 (26.6%) due to inadequate treatment. Since 2010, 351 (67.6%) sentences were passed, representing more than a 100% increase compared to 168 (32.4%) in the first 8 years of the study (2002–2009). Most patients were male (56.1%) who died (57.4%), and the conditions that most frequently led to the conviction were malignant cancer (26.4%) and neurological disorders (17.3%). Conclusions The litigation due to loss of chance in Spanish public health has significantly increased over the last few years. The convictions were mainly issued because of diagnostic error or inadequate treatment.

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