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Missionary Malpractice Survey

Missionary Malpractice Survey. Completed by Center for Medical Missions June, 2008. Sent to ~ 1000 e-Pistle Recipients. 56 Responses. Peru x 2 Guatemala x 2 Ecuador x 2 Honduras x 4 Trinidad-Tobago Dominican Republic x 2 Bolivia USA Canada Nicaragua Belize. 29 Countries Represented.

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Missionary Malpractice Survey

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  1. Missionary Malpractice Survey Completed by Center for Medical Missions June, 2008

  2. Sent to ~ 1000 e-Pistle Recipients 56 Responses

  3. Peru x 2 Guatemala x 2 Ecuador x 2 Honduras x 4 Trinidad-Tobago Dominican Republic x 2 Bolivia USA Canada Nicaragua Belize 29 Countries Represented America’s Africa • Kenya x 4 • Ethiopia x 2 • Zambia x 2 • Tanzania x 2 • Ghana • Sudan • Chad • Zimbabwe

  4. Papua New Guinea x 4 India Philippines Thailand Macau Taiwan x 2 Pakistan Cambodia Countries Continued Europe Asia • Ukraine • Turkey • Romania • Albania

  5. Malpractice Coverage?

  6. Coverage With • Medical Protection Society - UK • Kenya, Taiwan, Cambodia • IMA PP Scheme - India • UAP - Kenya

  7. Had a Suit? • 20% had a suit • All against long term staff • Countries -> Malpractice Ins.? • Ecuador - N • Kenya - Y • Papua New Guinea - N, had but compensate now • Pakistan - N • Honduras - N • Turkey - Y • Taiwan - Y • 80% no suit

  8. Suit Amounts/Results

  9. How Common Are Suits?

  10. How Likely is a Suit in Next Five Years? Very Unlikely Very Likely

  11. Should CMDA Develop a Malpractice Program? YES 52% NO 48%

  12. 30 Comments • This is an area of increasing interest. Malpractice suits are not frequent but becoming more common. • One issue is the desire on the part of many volunteers for malpractice coverage for trips overseas as well as the requirements by many medical schools and residency programs for this coverage. • Our mission organization has pledged to be responsible for any malpractice claims lodged against us in country. • Currently very low risk and malpractice is more likely to be taken up with the Medical Board than as a civil suit. • Malpractice if becoming more common and it is a concern of both missionary and local physicians. We are told we have support from the college of medicine, but it is not reality. Honduras

  13. Comments • The malpractice situation in Ghana is changing rapidly. Doctors have been very arrogant and are repeating the mistakes made in the US; however, law groups now have agents in small villages looking for instances of malpractice that would result in successful law suits. • PNG Highlands often demand compensation. They often threaten to sue. They rarely proceed to sue through legal channels. They often use threats, occasionally violence, to press their demands. Legal channels are rare, problematic, and dysfunctional. We no longer carry malpractice insurance because we were paying high premiums but always settling out of court… • Our one suit showed that long term docs are at risk, not short term visitors. - Kenya

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