Positive and negative factors in defensive medicine : a questionnaire study of general practitioners.
Objectives- (a) To investigate defensive medical practices among general practitioners ; (b) to compare any such practices with general practitioners'understanding of certain aspects of the terms of service and medical negligence and practitioners'concerns about the risk of being sued or having a complaint lodged.
Design-Postal questionnaire survey
Each questionnaire was followed by a reminder.
Subjects-500 systematically selected general practitioners on the membership list of the Medical Defence Union.
Main outcome measures-Answers to questions on defensive medical practices, understanding of certain aspects of the terms of service and medical negligence, and concerns about the risk of being sued or having a complaint lodged.
300 general practitioners returned the questionnaire (response rate 60%). 294 (98%) claimed to have made some practice changes as a result of the possibility of a patient complaining.
Of the defensive medical practices adopted, the most common (over half of doctors stating likely or very likely) seemed to be increased diagnostic testing, increased referrals, increased follow up, and more detailed patient explanations and note taking.
Respondents practised defensive medicine as a possible consequence of concerns about the risks of being sued or having a complaint lodged.
This association was particularly strong for negative defensive practices.
Mots-clés Pascal : Homme, Médecin généraliste, Médecine, Pratique professionnelle, Réclamation, Enquête, Angleterre, Défensif, Négatif, Positif, Grande Bretagne, Royaume Uni, Europe
Mots-clés Pascal anglais : Human, General practitioner, Medicine, Professional practice, Protest, Inquiry, England, Negative, Positive, Great Britain, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0191223
Code Inist : 002B30A05. Création : 09/06/1995.