Korean J Obstet Gynecol.  2012 Jul;55(7):461-467. 10.5468/KJOG.2012.55.7.461.

The influence of obstetric no-fault compensation act on future career of residents in obstetrics and gynecology

Affiliations
  • 1Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 2Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
  • 4Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. akim@amc.seoul.kr

Abstract


OBJECTIVE
The number of resident applicants in obstetrics and gynecology in South Korea is decreasing every year. Recently, the government legislated for obstetric no-fault compensation act which obligated obstetrics and gynecology doctors to pay for 50% of the budget to compensate for the unfavorable delivery outcome that the medical provider is not responsible for. The act was faced with obstetrics and gynecology doctors' and in-trainees' resentment for putting unfair financial burden on the shoulders of the medical providers and hospitals in the absence of malpractice. In light of this, the purpose of this study was to investigate the influence of the obstetric no-fault compensation act on the future career of obstetrics and gynecology residents as obstetricians.
METHODS
We conducted a survey of 4th grade obstetrics and gynecology residents (n=59) on influence of the obstetric no-fault compensation act on the future career as obstetricians through questionnaire.
RESULTS
The result from this survey showed that this act has driven the residents away from providing obstetrical care in the future which will inevitably lead to lack of delivery service in the rural areas.
CONCLUSION
We do conclude that the enforcement ordinance of the obstetric no-fault compensation act should be revised.

Keyword

No-fault compensation; Obstetrics and gynecology; Residents; Delivery

MeSH Terms

Budgets
Compensation and Redress
Gynecology
Light
Malpractice
Obstetrics
Republic of Korea
Shoulder

Figure

  • Fig. 1 The annual number of doctors newly qualified as obstetrics and gynecology specialists.

  • Fig. 2 The number of resident applicants in obstetrics and gynecology. TO, table of organization.


Cited by  1 articles

Measures to address obstetrically underserved areas: limitations and future directions
Jong Woon Kim, Yoon Ha Kim
J Korean Med Assoc. 2016;59(6):429-435.    doi: 10.5124/jkma.2016.59.6.429.


Reference

1. Lee PS. Kang SB, editor. Adequacy of supply and demand for the hospital and the doctor by low fertility. Proceedings of the 92th Korean Society of Obstetrics and Gynecology. 2006. 2006 Sep 30 Aug 1; Seoul. Jin publishing and printing Co;95–104.
2. National Health Insurance Corporation (NHIC). Health Insurance Review & Assessment Service (HIRA). National health insurance statistical yearbook [Internet]. c2011. cited 2012 May 13. Seoul: National Health Insurance;Available from: http://www.nhic.or.kr/portal/site/main/menuitem.74b68c0b767ded38b31148b4062310a0/.
3. Ministry of Health & Welfare. Government support for the obstetrics and gynecology clinic in the area lack of delivery service in the rural area. News & notices, Feb 28, 2011 [Internet]. c2012. cited 2012 May 13. Seoul: Ministry of Health & Welfare;Available from: http://www.mw.go.kr/front/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=249504&page=1.
4. Nelson KB. What proportion of cerebral palsy is related to birth asphyxia? J Pediatr. 1988. 112:572–574.
5. Perlman JM. Intrapartum hypoxic-ischemic cerebral injury and subsequent cerebral palsy: medicolegal issues. Pediatrics. 1997. 99:851–859.
6. Hankins GD, Speer M. Defining the pathogenesis and pathophysiology of neonatal encephalopathy and cerebral palsy. Obstet Gynecol. 2003. 102:628–636.
7. Yeargin-Allsopp M, Van Naarden Braun K, Doernberg NS, Benedict RE, Kirby RS, Durkin MS. Prevalence of cerebral palsy in 8-year-old children in three areas of the United States in 2002: a multisite collaboration. Pediatrics. 2008. 121:547–554.
8. Oh SY. Current opinion of cerebral palsy. Korean J Obstet Gynecol. 2007. 50:1191–1204.
9. Wood NS, Marlow N, Costeloe K, Gibson AT, Wilkinson AR. EPICure Study Group. Neurologic and developmental disability after extremely preterm birth. N Engl J Med. 2000. 343:378–384.
10. Grether JK, Nelson KB. Maternal infection and cerebral palsy in infants of normal birth weight. JAMA. 1997. 278:207–211.
11. Yoon BH, Park CW, Chaiworapongsa T. Intrauterine infection and the development of cerebral palsy. BJOG. 2003. 110:Suppl 20. 124–127.
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