SavedAdd your journal

Journals / Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi / 2021 / Cilt: 35 - Sayı: 3

Defensive Medicine in General Surgery: a Questionnaire Study in Turkey

GENEL CERRAHİDE DEFANSİF TIP: TÜRKİYE’DE BİR ANKET ÇALIŞMASI

Oğuzhan EKİZOĞLU
Eyüp KEBAPÇI
Pages
351–361
Publication Date
2022-10-17
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Detailed studies on determinant factors identified in this study may aid in resolving problems concerning defensive medicine.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study investigated the effects of defensive medicine on the practice of physicians in general surgery Methods: A questionnaire consisting of 30 questions titled “Defensive Medicine in General Surgery” was administered to 229 physicians in general surgery by e-mail.
📊
Key Findings & Data:Results: All variables with a statistically significant effect on defensive medicine during univariate analysis were included as candidate factors in multivariate linear regression analysis of defensive medicine.
💡
Conclusion & Impact:Conclusion: Detailed studies on determinant factors identified in this study may aid in resolving problems concerning defensive medicine.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

This study investigated the effects of defensive medicine on the practice of physicians in general surgery Methods: A questionnaire consisting of 30 questions titled “Defensive Medicine in General Surgery” was administered to 229 physicians in general surgery by e-mail. The responses were evaluated by univariate and multivariate analyses. Results: All variables with a statistically significant effect on defensive medicine during univariate analysis were included as candidate factors in multivariate linear regression analysis of defensive medicine. The tendency to adopt defensive medicine practices decreased significantly with an increasing total number of operations performed annually. With increasing degree of regret about working as a general surgeon and increasing scores concerning predictive attitude knowledge-based factors, the tendency to adopt defensive medicine practices also increased significantly. There were no significant correlations between other demographic characteristics and the tendency to adopt defensive medicine practices. Conclusion: Detailed studies on determinant factors identified in this study may aid in resolving problems concerning defensive medicine.

Özet

Amaç: Bu çalışmada, genel cerrahide defansif tıbbın hekimlerin uygulamalarına etkileri araştırılmıştır. Gereç ve Yöntem: Genel Cerrahide 229 hekime e-posta yoluyla “Genel Cerrahide Defansif Tıp” başlıklı 30 sorudan oluşan bir anket uygulandı. Yanıtlar tek değişkenli ve çok değişkenli analizlerle değerlendirildi. Bulgular: Tek değişkenli analiz sırasında defansif tıp üzerinde istatistiksel olarak anlamlı etkisi olan tüm değişkenler, defansif tıbbın çok değişkenli lineer regresyon analizine aday faktörler olarak dahil edildi. Yılda yapılan toplam ameliyat sayısının artmasıyla defansif tıp uygulamalarını benimseme eğilimi önemli ölçüde azalmıştır. Genel cerrah olarak çalışmaktan duyulan pişmanlık derecesinin artması ve öngörücü tutum bilgi temelli faktörlere ilişkin puanların artmasıyla birlikte defansif tıp uygulamalarını benimseme eğilimi de önemli ölçüde artmıştır. Diğer demografik özellikler ile defansif tıp uygulamalarını benimseme eğilimi arasında anlamlı bir ilişki bulunmadı. Sonuç: Bu çalışmada belirlenen belirleyici faktörlere ilişkin detaylı çalışmalar, defansif tıbba ilişkin sorunların çözümüne yardımcı olabilir.

🔖

Cite This Article

EKİZOĞLU, O., KEBAPÇI, E. (2022). Defensive Medicine in General Surgery: a Questionnaire Study in Turkey. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi, Cilt: 35 - Sayı: 3, 351–361. https://ajindex.com/articles/491995

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. US Congress Office of Technology Assessment. Defensive medicine and medical malpractice. Publication OTA-H-602. Washington, DC: US Government Printing Office, 2001
  2. Asher E, Parag Y, Zeller L, Yerushalmi R, Reuveni H. Unconscious defensive medicine: The patient of erythrocyte sedimentation rate. Eur J Intern Med 2007;18(1): 35–38
  3. Kessler D, McClellan M. Do doctors practice defensive medicine? Q J Econ 1996;111: 353–359
  4. Brown TW, McCarthy ML, Kelen GD, Levy F. An epidemiologic study of closed emergency department malpractice claims in a national database of physician malpractice insurers. Acad Emerg Med 2010;17: 553–560
  5. Studdert D, Mello M, Sage W, DesRoches C, Peugh J, et al. Defensive medicine among highrisk specialist physicians in a volatile malpractice environment. JAMA 2005;293(21): 2609–2617
  6. Toker A, Shvarts S, Perry ZH, Doron Y, Reuveni H. Clinical guidelines, defensive medicine, and the physician between the two. Am J Otolaryngol 2004;25(4): 245–250
  7. Bleich A, Baruch Y, Hirschmann S, Lubin G, Melamed, et al. Management of the suicidal patient in the era of defensive medicine: Focus on suicide risk assessment and boundaries of responsibility. Isr Med Assoc J 2011;13(11): 653– 656
  8. Özata M, Kubilay ÖZER, Akkoca Y. Konya İl Merkezinde Çalışan Hekimlerde Defansif (Çekinik) Tıp Uygulamalarının Araştırılması. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 2018;7(1): 131–138
  9. Başer A, Kolcu G, Çığırgil Y, Kadınkız B, Öngel K. İzmir Karşıyaka İlçesinde Görev Yapan Aile Hekimlerinin Defansif Tıp Uygulamaları ile İlgili Görüşlerinin Değerlendirilmesi. Smyrna Tıp Dergisi 2014;16: 24.tr
  10. Asher E, Greenberg-Dotan S, Halevy J, Glick S, Reuveni H. Defensive medicine in Israel–a nationwide survey. PLoS One 2012;7(8): e42613
  11. Nahed BV, Babu MA, Smith TR, Heary RF. Malpractice liability and defensive medicine: A national survey of neurosurgeons. PloS One 2012;7(6): e39237
  12. Ennis M, Clark A, Grudzinskas JG. Change in obstetric practice in response to fear of litigation in the British Isles. Lancet 1991;338: 616–618
  13. Sloan FA, Whetten-Goldstein K, Githens PB, Entman SE. Effects of the threat of medical malpractice litigation and other factors on birth outcomes. Med Care 1995;33: 700–714
  14. Summerton N. Positive and negative factors in defensive medicine: A questionnaire study of general practitioners. BMJ 1995;310(6971): 27–29
  15. Girgis S, Ward JE, Thomson CJ. General practitioners’ perceptions of medicolegal risk us