The Problematic Aspects of Compensation for Damage Caused by a Doctor’s Omission in Medical Law

Authors

  • Nana Uznadze

DOI:

https://doi.org/10.60131/jlaw.1.2025.9279

Keywords:

Medical Law, Doctor’s Omission, Compensation For Damage, Causal Link, Burden of Proof, Loss of Chance.

Abstract

The resolution of disputes arising within the framework of medical law is often associated with significant difficulties, especially when the damage results not from an act but from a doctor’s omission. Even in cases where unlawfulness and fault are clearly established, but a causal link cannot be proven, the physician may be released from liability. In such cases, the central question is whether the harmful outcome could have been avoided if the physician had taken a specific action. Answering this question becomes complicated by the inherent limitations of medicine to predict how a patient’s health condition would have evolved had the appropriate standard of care and treatment been followed.

This paper analyzes the problematic aspects of compensation for damage caused by a doctor’s omission and focuses on the following key issues: the scope of the duty to treat, the difficulties in establishing causality, the allocation of the burden of proof, and the challenges related to the assessment of damages. Through doctrinal and comparative analysis, the paper explores whether theories such as the loss of chance doctrine might offer a fairer approach to compensation.

Author Biography

Nana Uznadze

PhD Student at the Faculty of Law of Ivane Javakhishvili State University, Visiting Lecturer.

References

Constitution of Georgia, Parliamentary Gazette, 31-33, 24/08/1995.

Civil Code of Georgia, Parliamentary Gazette, № 31, 24/07/1997.

Civil Procedure Code of Georgia, Parliamentary Gazette, 47–48, 31/12/1997,

Law of Georgia on Health Care, Parliamentary Gazette, 47–48, 31/12/1997.

Law of Georgia on the Rights of Patients, LHG, № 19, 25/05/2000.

UNIDROIT Principles of International Commercial Contracts 2016.

German Civil Code (BGB), 10/08/2021.

Bichia M., The Concept of Medical Law and Its Place in the Legal System, Law and the World, Vol. 9, № 28, 2023, 82 (In Georgian).

Bichia M., The Specifics of Compensation for Damage Caused by a Medical Institution: Theoretical and Practical Aspects, Justice and Law, №2 (70), 2021, 88-91, 94 (in Georgian).

Bichia M., Peculiarities of Medical Torts in Georgian Judicial Practice, South Caucasus Law Journal, 09/2018 – 2019, 226, 227, 231.

Davies C. E., Shaul R.Z., Physicians’ Legal Duty of Care and Legal Right to Refuse to Work During Pandemics, Canadian Medical Association Journal (CMAJ), Vol. 182, № 3, 2010, 320–321.

Fletcher M. T., Standard of Care in Legal Malpractice, Indiana Law Journal 43, №3, 1968, 773.

G'Sell-Macrez, F., Medical Malpractice and Compensation in France: Part I: the French Rules of Medical Liability since the Patients' Rights Law of March 4, 2002, Chicago-Kent Law Review, Vol. 86, № 3, 2011, 1114.

Gelashvili I., The Significance of the Loss of Chance Doctrine in Medical Disputes: Justice and Law, № 4, (80), 2023, 27, 47-50, 54, 60, 63 (in Georgian).

Gujabidze N., Compensation for Damage Caused by a Doctor’s Omission, presentation delivered at the Medical Law Forum, Alte University, 23 February 2024 (in Georgian).

Hayward R., Asch S. M., Hogan M. M., Hofer T. P., Kerr E.A., Sins of Omission: Getting too Little edical Care May be the Greatest Threat to Patient Safety, Jourbal of General Internal Medicine, Vol. 20, № 1, 2005, 35.

Heywood R., Systemic Negligence and NHS Hospitals: An Underutilized Argument, King’s Law Journal, 2021, 3.

Kadner Graziano T., Loss of a Chance in European Private Law - "All or nothing" or partial liability in cases of uncertain causation, In: Causation in Law. Lubos Tichy (Ed.). Prague: Univerzita Carlova, 2007, 141.

Kass J., Rose R. V., Medical Malpractice Reform: Historical Approaches, Alternative Models, and Communication and Resolution Programs, AMA Journal of Ethics, Vol. 18, № 3, 299.

Kvantaliani N., Rusiashvili G., The General Systematics of a Doctor’s Civil Liability and the Significance of the Doctor’s Fault, Georgian-German Journal of Comparative Law, 1/2022, 1, 8 – 10 (in Georgian).

Kropholler J., German Civil Law Code, Darjania T., TcheTchelashvili Z. (trans.), Chachanidze E., Darjania T., Tortladze L. (eds.), 13th ed., Tbilisi, 2014, § 823, abs 21 (in Georgian).

Liddell K., Skopek J. M., Gallez I., Fritz Z., Differentiating Negligent Standards of Care in Diagnosis, Medical Law Review, 2022, Vol. 30, № 1, 34.

Mackey W. R., Torts – Res Ipsa Loquitur in Malpractice Cases, the Superior Knowledge Factor, UC Law Journal, Vol. 9, issue 3, 1958, 322.

Makhatadze, Sh., Regulation of Physician’s Liability for Medical Error under Georgian Legislation, Journal of Medical Law and Management, № 3(6), 2024, pp. 56–58 (in Georgian).

Makhatadze Sh., The Standard of Causation in Compensation for Damage Caused to a Patient by a Doctor’s Omission, Medical Law and Management Journal, № 1/2022, 36, 38, 41, 42, 45 – 48 (In Georgian).

Merry A., McCall Smith A., Errors, Medicine and the Law, Cambridge University Press, UK, 2001, 176-177.

Misic Radanovic N., Vukusic I., Causation in Medical Malpractice, EU and Comparative Law Issues and Challenges Series 4, 2020, 778.

Pepanashvili N., The Presumption of Fault of the Medical Service Provider in the Civil Code of Georgia, Journal of Law, № 2, 2016, 121-122, 126 - 129 (in Georgian).

Pepanashvili N., Compensation for Damage Caused by a Medical Institution, Dissertation, Tbilisi, 2016, 160–161 (in Georgian).

Rusiashvili G., Commentary on the Civil Code, Book III, General Part of the Law of Obligations, 2019, Article 412, abs 3 (in Georgian).

Stauch M., Wheat K., Text, Cases and Materials on Medical Law and Ethics, fourth edition, Routhledge, USA and Canada, 2012, 22.

Stauch, Marc S., Medical Malpractice and Compensation in Germany, Chicago-Kent Law Review, Vol. 86, № 3, 2011, 1152.

Seidelson D. E., Medical Malpractice Cases and the Reluctant Expert, Catholic University Law Review, Vol. 16, issue 2, 1966, 158-160.

Suri S., Action, Affiliation, and a Duty of Care: Physicians’ Duty of Care in Nontraditional Settings, Fordham Law Review, Vol. 89, № 2, 2020, 307.

Todorovski N., Medical Law and Health Law – Is it the Same?, Medical Law and Ethics Journal, Vol. 18, № 2, 2018, 34

Wienke A., Errors and Pitfalls: Briefing and Accusation of Medical Malpractice – the Second Victim, German Society of Oto-Rhino-Laryngology, Head and Neck Surgery, 2013.

Bolam v Friern Hospital Management Committee [1957] 1 W.L.R 582.

Bolitho v City and Hackney Health Authority [1998] A.C. 232.

Barnett v Chelsea & Kensington Hospital [1969] 1 QB 428.

Cooper v. Sisters of Charity of Cincinnati, Inc. (1971) 27 Ohio St. 2d 242.

Herskovits v. Group Health Cooperative of Puget Sound (1983) 99 Wash. 2d 609.

Roberts v. Ohio Permanente Medical Group, Inc. (1996) 76 Ohio St. 3d 483.

Montgomery v Lanarkshire Health Board [2015] UKSC 11.

Decision of June 19, 2024 № ას-45-2024 of the Civil Case Chamber of the Supreme Court of Georgia.

Decision of November 17, 2022 № ას-1169-2022 of the Civil Case Chamber of the Supreme Court of Georgia.

Decision of October 13, 2021 № ას-960-2020 of the Civil Case Chamber of the Supreme Court of Georgia.

Decision of July 26, 2019 № ას-645-2019 of the Civil Case Chamber of the Supreme Court of Georgia.

Decision of May 11, 2018 № ას-111-111-2018 of the Civil Case Chamber of the Supreme Court of Georgia.

Decision of February 24, 2017 № ას-1206-1166-2016 of the Civil Case Chamber of the Supreme Court of Georgia.

Decision of January 22, 2016 № ას-1102-1038-2015 of the Civil Case Chamber of the Supreme Court of Georgia.

Decision of June 27, 2011 № ას-260-244-11 of the Civil Case Chamber of the Supreme Court of Georgia.

Decision of May 25, 2010 №ას-1268-1526-09 of the Civil Case Chamber of the Supreme Court of Georgia.

Published

2025-06-30

How to Cite

Uznadze, N. (2025). The Problematic Aspects of Compensation for Damage Caused by a Doctor’s Omission in Medical Law. Journal of Law , (1), 184–204 (Geo). https://doi.org/10.60131/jlaw.1.2025.9279

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