Medical Liability in Europe : A Comparison of Selected Jurisdictions

Ten years after the first study published in this field by the European Centre of Tort and Insurance Law, liability for medical malpractice is still a hot topic throughout Europe and it continues to expand and develop. In order to provide an update on the current situation across European legal systems, this book includes fourteen country reports authored by renowned experts from each legal system. In addition to providing a theoretical survey of key issues, each contributor also analyzed six hypotheticals based on actual cases, thereby also providing practical guidance on major aspects of liability claims. A concluding comparative analysis highlights commonalities and differences in the liability rules employed, dispute resolution procedures and the insurance background. List of Contributors Questionnaire Medical Liability in Austria General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Social Welfare Provision 2. The role of public healthcare 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation. 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the healthcare sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative Compensation Regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary Loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-Pecuniary Loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in Belgium General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Social Welfare Provision 2. The role of public health care 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the health care sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative Compensation Regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary Loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-Pecuniary Loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in the Czech Republic General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Social Welfare Provision 2. The role of public health care. 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the health care sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative Compensation Regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary Loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-pecuniary Loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in England General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Social Welfare Provision 2. The role of public health care. 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation. 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the health care sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative Compensation Regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary Loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-Pecuniary Loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in France General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Social Welfare Provision 2. The role of public health care 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Principles of tort liability 10. Burden of proof 11. Uncertain causation 12. Loss of a chance. 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the health care sector 16. Differences from tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative Compensation Regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary Loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-Pecuniary Loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling negligence claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in Germany General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Social Welfare Provision 2. The role of public health care. 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the healthcare sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative Compensation Regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary Loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-Pecuniary Loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in Hungary General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Social Welfare Provision 2. The role of public health care. 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation. 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the health care sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative Compensation Regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary Loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-pecuniary Loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in Italy General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Social Welfare Provision 2. The role of public health care 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the health care sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative Compensation Regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary Loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-Pecuniary Loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in the Netherlands General Questions A. The Healthcare System Framework I. General Introduction 1. The health care system in overview II. Social Welfare Provision 2. The role of public healthcare 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation. 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the healthcare sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative Compensation Regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary Loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-pecuniary Loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in Poland General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Social Welfare Provision 2. The role of public health care 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation. 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the health care sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative Compensation Regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary Loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-pecuniary Loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in Spain General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Welfare Provision 2. The role of public health care 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the health care sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative Compensation Regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary Loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sums? 24. Caps and thresholds II. Non-Pecuniary Loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in Sweden General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Social Security 2. The role of public health care. 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation. 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the health care sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Fund and other alternative compensation regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedy I. Pecuniary loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-pecuniary loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in Switzerland General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Social Welfare Provision 2. The role of public health care 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the health care sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative compensation regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-pecuniary loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Medical Liability in Europe: Comparative Analysis Introduction. General Questions A. The Health Care System Framework I. General Introduction 1. The health care system in overview II. Social Welfare Provision 2. The role of public health care. 3. Differences in treating patient’s claims 4. Right of recourse III. Private Insurance 5. The role of private health insurance 6. Liability insurance IV. Professional Standards 7. Applicable professional standards 8. Quality and/or risk management systems B. Tort Liability 9. Fundamentals of tort liability 10. Burden of proof 11. Uncertain causation 12. Loss of a chance 13. Multiple persons involved 14. Strict liability C. Contractual Liability 15. Basics of contracts in the health care sector 16. Differences to tort law 17. Contractual claims in the absence of direct contracts? 18. Informed consent D. Public Liability 19. Key differences from cases involving private hospitals or doctors E. Alternative compensation regimes 20. Funds and/or other alternative compensation regimes F. Extent of Liability/Remedies I. Pecuniary loss 21. Introduction to indemnifying pecuniary loss 22. Loss of earnings vs loss of earning capacity 23. Periodic payments or lump sum? 24. Caps and thresholds II. Non-pecuniary loss 25. Introduction to indemnifying non-pecuniary loss 26. Who can claim compensation for non-pecuniary loss? G. Procedural Matters 27. Specific rules of jurisdiction or procedure 28. Special institutions handling malpractice claims H. Outlook 29. Reform plans Cases Preliminary remarks Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Conclusions Index

Ten years after the first study published in this field by the European Centre of Tort and Insurance Law, liability for medical malpractice is still a hot topic throughout Europe and it continues to expand and develop. In order to provide an update on the current situation across European legal systems, this book includes fourteen country reports authored by renowned experts from each legal system. In addition to providing a theoretical survey of key issues, each contributor also analyzed six hypotheticals based on actual cases, thereby also providing practical guidance on major aspects ofliability claims. A concluding comparative analysis highlights commonalities and differences in the liability rules employed, dispute resolution procedures and the insurance background.

Ten years after the first ECTIL project in this field, liability for medical malpractice is still a hot topic throughout Europe and it continues to expand and develop. This study compares thirteen European jurisdictions on the basis of country reports authored by renowned experts from each legal system. In addition to providing a theoretical survey of key issues, contributors analyzed six hypotheticals based on actual cases, thereby also providing practical guidance on major aspects of liability claims. Bernhard A. Koch, Professorof Civil Law, University of Innsbruck, Austria;Ken Oliphant, Professor, Institute for European Tort Law of the Austrian Academy of Sciences, Vienna, Austria Ten years after the first ECTIL project in this field, liability for medical malpractice is still a hot topic throughout Europe and it continues to expand and develop. This study compares thirteen European jurisdictions on the basis of country reports authored by renowned experts from each legal system. In addition to providing a theoretical survey o name=_GoBack> f key issues, contributors analyzed six hypotheticals based on actual cases, thereby also providing practical guidance on major aspects of liability claims Bernhard A. Koch (ed.) ; With Contributions By Ewa Bagińska ... [et Al.]. Includes Bibliographical References And Index.