The medical responsibility: current view from the Council of Physicians side.
The medical responsibility has been clearly defined in the Royal Decree no. 78 dated November 11, 1967 concerning the medical practice. Moreover, several articles from the Ethical Code (Code de Déontologie) have clarified some social and economical responsibilities in the medical practice (articles 99 to 103) and the quality of patient care (article 36). The National Council has also published at least 31 advises facing the daily reality and the growing insecurity. That atmosphere is coming from the jurisprudence, the increasing responsibility insurance fees, the obligation of results instead of means, and the project of patient rights law. That project is currently dissociated from other projects such as an update on the medical responsibility and/or the no fault indemnity. Therefore, there is a current need for developing written patient information and using informed consent forms for risky surgical procedures. Before recognizing the no fault concept with indemnity, it is necessary to review the coverage of the responsibility insurance, educate the medical doctors in the no fault concept, study the mode of compensation for therapeutic hazards and differentiate the objective and subjective parts of the patient's chart.
Squifflet
J P
JP
Department of Kidney and Pancreas Transplantation and Endocrine Surgery, Cliniques UCL Saint-Luc, Brussels. Jean-Paul.Squifflet@chir.ucl.ac.be
D001530:Belgium; D013502:General Surgery; D006801:Humans; D007258:Informed Consent; D016365:Liability, Legal; D019300:Medical Errors / Q000331:legislation & jurisprudence; D028701:Patient Rights / Q000331:legislation & jurisprudence