Medical Liability, Defensive Medicine, and Introduction to Professional Insurance in the Republic of Kazakhstan

Makpal Alchimbayeva; Tolebay Rakhypbekov; Gulmira Bazarova; Aigerm Baimagambetova; Oxana Tsigengagel

doi:10.3889/oamjms.2022.8410

Authors

Makpal Alchimbayeva Department of Medical Law and Ethics, NJSC Astana Medical University, Astana, Kazakhstan
Tolebay Rakhypbekov Kazakhstan’s National Association “Primary Health Care”, Nur-Sultan, Kazakhstan
Gulmira Bazarova Department of Medical Law and Ethics, NJSC Astana Medical University, Astana, Kazakhstan
Aigerm Baimagambetova Department of Public Health and Management, NJSC Astana Medical University, Astana, Kazakhstan
Oxana Tsigengagel Department of Public Health, NCJSC Semey Medical University, Semey, Kazakhstan

DOI:

https://doi.org/10.3889/oamjms.2022.8410

Keywords:

Medical malpractice, Professional liability insurance, Defensive medicine, Liability claims, Medical error

Abstract

This study aims at verifying relationships between the perception of medico-legal risks involved in the professional activity of Republic of Kazakhstan healthcare professionals (HCPs), defensive medical behavior and their understanding of healthcare professional liability (HCPL) insurance. The current paper also analyzes the experience of some foreign countries based on a study which suggests the ways of improving the medical liability, defensive medicine and introduction to HCPL insurance in the Republic of Kazakhstan. Additionally, the identified advantages to introduction insurance and mediation as an extra-judicial regulation of disputes, the authors point out the identified shortcomings of the matter in the legal acts of the Republic of Kazakhstan. Relevance of the topic is reasoned to the fact that complaints about medical malpractice have increased over time in Kazakhstan, as well as other countries around the world. The costs arising from medical liability lawsuits weigh not only on individual HCPs but also on the budgets of healthcare facilities, many of which in Kazakhstan are supported by public funds. A full understanding of the phenomenon of medical malpractice appears necessary in order to manage this spreading issue and mechanism of HCPL insurance in the Republic of Kazakhstan.

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