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PubMed1994

Prospective review of 278 endoscopic carpal tunnel releases using the modified chow technique.

The results of 278 endoscopic carpal tunnel releases using the extrabursal dual portal Chow technique were analyzed prospectively. The majority of patients were pain free by the 57th postoperative day. The perioperative complication rate was 1.7%. The late complication rate was 2.8%. Two cases were converted to open carpal tunnel release. The average time to return to full-duty work was 65 days in those patients covered by worker's compensation, whereas it was 21 days in the privately insured (non-worker's compensation) patients. The endoscopic release of the transverse carpal ligament is an effective technique for the treatment of carpal tunnel syndrome with a low complications rate. Return to full employment requires more time in those patients covered by worker's compensation.

Adult↗
PubMed1977

Where is the malpractice crisis taking us?

There have been several approaches taken to solve the malpractice insurance problem in this country. However, since the cost of malpractice insurance continues to climb, the changes so far have not solved the problem, and more changes seem inevitable. A major change could be the development of a patient insurance plan that would provide compensation for certain injuries related to medical care. The insurance coverage would be centered on hospital care. If certain requirements are met, the plan may not be more expensive than the current tort liability system, and would offer several advantages. In addition to the patient injury insurance, there could be federal assumption of liability for national immunization programs.

Costs and Cost Analysis↗
PubMed1994

[Intervertebral disk-induced diseases (BK Nr. 2108, 2109, 2110). The so-called exacerbation and assessment of work disability].

Two problems are discussed from a multitude of problems arising with the assessment of the "new" occupational diseases classified under the heading "Vertebral Column" which are of essential importance in determining the amount of compensation payment under German statutory health insurance legislation. One problem concerns differentiation of damage from already existing damage or dividing the total disease into preliminary i.e. already existing damage on the one hand and worsening or exacerbation on the other. Pathogenesis of disk-related disease does not usually allow splitting the disease into an already existing damage that is not job-conditioned and an exacerbation caused by the insured exposure to job-conditioned risk: compensation must be based on the "all-or-nothing" principle. The second problem is to assess the reduction in ability to cope with gainful employment stress. Preventive considerations will decisively influence the number of working places that can be offered as alternatives if a person has been suffering from intravertebral disk disease. Not only those jobs that require heavy physical work are barred, but also those where the worker has to remain in the same position for a prolonged time. Such disease-specific preventive considerations result in a rejection of the usual assessment criteria for intervertebral disk diseases.

Adult↗
PubMed2002

Managing compensation for economic losses in areas surrounding foot and mouth disease outbreaks: the response of France.

This article describes the French scheme for providing compensation to stock farmers located in the prevention and surveillance zones in the vicinity of foot and mouth disease (FMD) outbreak sites and for economic losses suffered as a result of restrictions on animal and animal product movement. As early as 1991, the Groupements de Defense Sanitaire (GDS: Animal Health Groups--associations of stock farmers dealing with health issues, recognised under French law) set up a Compensation Fund that was put to use during the FMD episode of 2001. The Fund paid out FRF6,488,000 (Euro989,000) to stockbreeders in the five affected departments (French local administrative divisions). Based on the principle of a national mutual benefit society, the Compensation Fund is the first instance of a system of private compensation, outside of conventional insurance schemes, based on a convention between French stock farmers. With decentralised management and speed of implementation, the Compensation Fund has proved its worth. The Fund now needs to be adjusted on the basis of changes introduced in FMD control policy in France and possibly the European Union.

Animals↗