[Petitioning for prosecution in the event of violation of the requirement to provide responsible health care].
BACKGROUND
The Norwegian Board of Health Supervision can petition for prosecution of health care personnel or facilities. The purpose of the survey is to find out what circumstances will prompt the Norwegian Board of Health Supervision to petition for prosecution of doctors and/or facilities for violation of the requirement of responsible conduct, how often this happens and what the outcome is.


METHODS
Petitions for prosecution in the period 1 February 2002 - 31 October 2008 were reviewed. The data stem mainly from two databases containing about 11 500 cases brought before the Norwegian Board of Health Supervision.


RESULTS
During the period, the Boards of Health Supervision at county level petitioned for prosecution in some 7,700 cases where doctors and/or facilities had failed to provide responsible health care. Unsound professional practice was found in about 2400 cases. The Board of Health Supervision petitioned for 19 prosecutions in 16 cases (0.7 %), in 9 of them against doctors and in 10 against facilities. Of the cases against doctors, four ended with fines, four were dismissed and in one a ruling has not yet been handed down. Eight facilities were fined, while the cases against two of them were dismissed. The number of petitions for prosecution has shown a declining tendency during the period.


CONCLUSIONS
The initiation of criminal proceedings against doctors and facilities is relegated by the Norwegian Board of Health Supervision to a minor position among its supervisory activities.
Diakonhjemmet Høgskole ogStatens helsetilsyn, Norway. molven@diakonhjemmet.no
Olav
O
Molven
Camilla
C
Svenningsen
D054976:Clinical Governance / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D006268:Health Facilities / Q000331:legislation & jurisprudence; D006801:Humans; D008318:Malpractice / Q000706:statistics & numerical data*; D008485:Medical Audit / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D010820:Physicians / Q000331:legislation & jurisprudence