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[현재위치]: 홈> 캐나다

캐나다 Canada

[ 사법제도 ] [ 관련문헌 ]

　
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  • "캐나다 의사들은 전적으로 CMPA(The Canadian Medical Protective Association)에 가입되어 있고, 여기서 거의 모든 의료과오문제를 커버해주고 있다. 그뿐만 아니라 의사들이 병원에서 부당한 대우를 받을 경우, 의사조합의 적극적 도움을 받는다."   

    • http://www.cmpa-acpm.ca/  - The Canadian Medical Protective Association is a mutual defence organization for physicians who practise in Canada. Our raison d'être is to protect a member's integrity by providing services of the highest quality including legal defence, indemnification, risk management, educational programs and general advice.

  • "캐나다의 MLI요금은 미국처럼 전문분야와 지역에 따라 차이가 크지만, 대체로 미국의 1/10 금액에 불과하다. 그리고 보험료의 60%는 정부에서 지불해준다. 캐나다서 다년간 방사선과 개원을 하고 은퇴를 앞둔 R박사의 연간 의료과오보험료는 2,304 캐나다달러(캐나다달러는 미국달러의 약 0.7)이며 그중 60%는 정부에서 지불하기 때문에, 결국 본인부담은 미국 돈으로 환산해서 연간 약 600달러 내외가 된다."  @[미국의료과오현황과 보험위기-4]

  • 캐나다 병원 입원환자들의 의료손상(adverse events) 발생률

    • 연간 250만 입원환자의 7.5%로 환자수로 환산하면 연간 185,000명에 이르고, 이 중 70,000명은 예방가능한 의료손상이었다.
    • 방법
      • 3,745 의무기록을 조사.
      • 1,527건의 의무기록에서 하나 이상의 선별기준이 발견됨. 이 중 255건에서 의료손상이 확인됨.
    • Baker GR, Norton PG, Flintoft V, Blais R, Brown A, Cox J, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ 2004; 170 (11):1678-86.[Abstract/Free Full Text]
      •

  • 안과

    • http://www.lexum.umontreal.ca/csc-scc/en/pub/1990/vol2/html/1990scr2_0311.html - The appellant, an ophthalmologist, performed surgery on the respondent to remove a cataract from her right eye. After injecting a local anaesthetic into the retrobulbar muscles behind the eyeball, the appellant noticed a small discolouration, which he stated on discovery was a very small retrobulbar bleed. On palpitating the eye, he found that it was not hard, and there were no other signs of retrobulbar haemorrhage. After waiting thirty minutes he proceeded with the operation. Following the surgery there was blood in the vitreous chamber of the eye. When the chamber cleared some nine months later the appellant was able to see for the first time that the optic nerve had atrophied, resulting in a loss of sight in the respondent's right eye. One possible cause of optic nerve atrophy is pressure due to retrobulbar haemorrhage. Neither of the expert witnesses was able to state with certainty what caused the atrophy in this case or when it occurred. The trial judge accepted the expert evidence that where there is bleeding other than the obvious pinprick of the needle, the operation should not be continued. Relying on the decision of the House of Lords in McGhee v. National Coal Board, he concluded that the respondent had prima facie proved that the appellant's actions had caused her injury and that the appellant had not satisfied the onus that had shifted to him. The trial judge accordingly found the appellant liable in negligence. The Court of Appeal dismissed the appellant's appeal.　

  • 참고문헌 및 웹사이트

    • Baker, G. R., Norton, P. G., Flintoft, V. (2004). Canadian Adverse Events Study. Can Med Assoc J 171: 834-834 [Full Text]
    • 캐나다의 사법제도〈상〉 인터넷 법률신문
    • 캐나다의 사법제도 <하>  인터넷 법률신문
      •
    • The courts in Canada are organized in a four-tiered structure. The Supreme Court of Canada sits at the apex of the structure and, consistent with its role as "a General Court of Appeal for Canada", hears appeals from both the federal court system, headed by the Federal Court of Appeal and the provincial court systems, headed in each province by that province’s Court of Appeal. In contrast to its counterpart in the United States, therefore, the Supreme Court of Canada functions as a national, and not merely federal, court of last resort.
      •

  • 기타 관련사이트 및 문헌

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