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  1. Compensation for birth-related injury : No-fault programs compared with tort system.

    Article - En anglais

    Objective 

    To compare compensation systems for birth-related injuries.

    Design 

    Retrospective cohort study.

    Setting 

    Florida.

    Participants 

    Parents of children with birth-related injuries who filed claims that closed before August 1,1995, with Florida's no-fault program (Neurological Injury Compensation Act [NICA]) or who filed tort claims that closed from January 1,1986, to August 1. 1995.

    Main Outcome Measures 

    Compensation for medical and income losses due to birth-related injuries.

    Results 

    Families who received tort settlements were overcompensated for the injury, considering all sources of compensation.

    By contrast, NICA recipients broke even.

    Those who did not receive tort or NICA compensation lost nearly $75 000 in the first 5 years following the birth.

    In the subsample of families of children with cerebral palsy, overcompensation by tort claim was even greater, whereas NICA recipients were undercompensated.

    The cost of care for cerbral palsy in both groups was the same.

    The difference between tort and NICA compensation levels was attributable to payment for income loss.

    Overall, NICA recipients were satisfied with compensation received.

    Conclusions 

    Medical expenses were adequately covered under NICA, but not income loss.

    A universal health insurance program for children would not cover income losses.

    Similar costs incurred in NICA and tort systems suggests no rationing of care by NICA. (...)

    Mots-clés Pascal : Cytomegalovirus, Betaherpesvirinae, Herpesviridae, Virus, Contamination, Prévalence, Etude comparative, Analyse statistique, Epidémiologie, Réaction chaîne polymérase, Diagnostic, Gestation, Risque, Maladie congénitale, Garde enfant, Enfant, Homme, Femelle, Infection, Biologie moléculaire, Gestation pathologie, Foetus pathologie

    Mots-clés Pascal anglais : Cytomegalovirus, Betaherpesvirinae, Herpesviridae, Virus, Contamination, Prevalence, Comparative study, Statistical analysis, Epidemiology, Polymerase chain reaction, Diagnosis, Pregnancy, Risk, Congenital disease, Child custody, Child, Human, Female, Infection, Molecular biology, Pregnancy disorders, Fetal diseases

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0093406

    Code Inist : 002B30A03B. Création : 31/05/1999.