دورية أكاديمية

Physicians as second victims after a malpractice claim: An important issue in need of attention.

التفاصيل البيبلوغرافية
العنوان: Physicians as second victims after a malpractice claim: An important issue in need of attention.
المؤلفون: Gómez-Durán EL; Professional Liability Department, Barcelona's College of Physicians, Barcelona, Spain; Medicine Department, Universitat Internacional de Catalunya, Barcelona, Spain; Professional Liability and Legal Medicine Chair, Universitat Autònoma de Barcelona, Barcelona, Spain., Vizcaíno-Rakosnik M; Professional Liability Department, Barcelona's College of Physicians, Barcelona, Spain; Medicine Department, Universitat Internacional de Catalunya, Barcelona, Spain., Martin-Fumadó C; Professional Liability Department, Barcelona's College of Physicians, Barcelona, Spain; Medicine Department, Universitat Internacional de Catalunya, Barcelona, Spain; Professional Liability and Legal Medicine Chair, Universitat Autònoma de Barcelona, Barcelona, Spain., Klamburg J; Professional Liability Department, Barcelona's College of Physicians, Barcelona, Spain., Padrós-Selma J; Professional Liability Department, Barcelona's College of Physicians, Barcelona, Spain., Arimany-Manso J; Professional Liability Department, Barcelona's College of Physicians, Barcelona, Spain; Professional Liability and Legal Medicine Chair, Universitat Autònoma de Barcelona, Barcelona, Spain; Legal Medicine Unit, Public Health Department, Universidad de Barcelona, Barcelona, Spain.
المصدر: Journal of healthcare quality research [J Healthc Qual Res] 2018 Sep - Oct; Vol. 33 (5), pp. 284-289. Date of Electronic Publication: 2018 Oct 22.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier España Country of Publication: Spain NLM ID: 101735273 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2603-6479 (Electronic) Linking ISSN: 26036479 NLM ISO Abbreviation: J Healthc Qual Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Barcelona, Spain] : Elsevier España, [2018]-
مواضيع طبية MeSH: Liability, Legal* , Malpractice*, Physicians/*psychology , Stress, Psychological/*etiology, Anger ; Chi-Square Distribution ; Female ; Humans ; Male ; Middle Aged ; Mood Disorders/classification ; Mood Disorders/etiology ; Physician's Role ; Physicians/statistics & numerical data ; Practice Management, Medical ; Practice Patterns, Physicians' ; Stress, Psychological/classification ; Stress, Psychological/epidemiology ; Surveys and Questionnaires/statistics & numerical data
مستخلص: Objective: Being sued for malpractice is extremely stressful and potentially traumatizing. We aim to identify claims' consequences on the physicians' well-being and medical practice.
Material and Methods: We administered a confidential telephonic survey to those physicians with a claim closed during 2014, among those insured by the main professional liability insurance company in the region. The questionnaire addressed several topics: symptoms and well-being changes, needs, impairments and practice changes. We used descriptive statistics as well as Chi-square and T-Student tests.
Results: A total of 99 physicians responded to the questionnaire (response rate of 64.7%). Most of them (80.8%) acknowledged having suffered a significant emotional distress, no matter the claim's outcome (p=0.958) or the kind of procedure (p=0.928). Anger and mood cluster of symptoms were frequent, and the experience frequently affected their personal, family or social life and professional conduct. Practice changes correlated significantly and positively with the number of symptoms reported (p=0.010), but not with the outcome of the claim (p=0.338) or the kind of procedure (p=0.552).
Conclusions: Most claimed physicians suffer a significant emotional distress after a malpractice claim, which affects their professional performance. According to our results, they should be assessed and assisted in order to minimize the negative consequences on their well-being and their praxis.
(Copyright © 2018 FECA. Publicado por Elsevier España, S.L.U. All rights reserved.)
فهرسة مساهمة: Keywords: Análisis de reclamaciones; Claims analysis; Claims review; Mala praxis; Malpractice; Post traumatic stress disorder; Professional liability; Responsabilidad profesional; Revisión de reclamaciones; Síndrome de estrés por mala praxis
تواريخ الأحداث: Date Created: 20181027 Date Completed: 20191025 Latest Revision: 20191025
رمز التحديث: 20221213
DOI: 10.1016/j.jhqr.2018.06.002
PMID: 30361104
قاعدة البيانات: MEDLINE
الوصف
تدمد:2603-6479
DOI:10.1016/j.jhqr.2018.06.002