scholarly journals How prevalent is the defensive medicine practice among the Egyptian

2021 ◽  
Vol 21 (4) ◽  
pp. 57-64
Author(s):  
heba abdo ◽  
heba aboubakr ◽  
Hoda Basyoni
Keyword(s):  
Defensive Medicine

Litigation in obstetrics: does defensive medicine contribute to increases in cesarean delivery?

2014 ◽  
Vol 27 (16) ◽  
pp. 1668-1675 ◽  
Author(s):  
Yvonne W. Cheng ◽  
Jonathan M. Snowden ◽  
Stephanie J. Handler ◽  
Ira B. Tager ◽  
Alan E. Hubbard ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Defensive Medicine

Defensive Medicine: A Game in Which Perception Trumps Reality

2016 ◽  
Vol 90 ◽  
pp. 646-647 ◽  
Author(s):  
James Richard Bean
Keyword(s):  
Defensive Medicine

scholarly journals Defensive medicine in the emergency department. The clinicians’ perspective

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Gianfranco Cervellin ◽  
Mario Cavazza
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
Healthcare Facility ◽  
Defensive Medicine ◽  
Medical Overuse ◽  
Optimal Care ◽  
Key Points ◽  
Risk Patients ◽  
Malpractice Liability ◽  
Risky Patients

The overuse of medical services is regarded as a growing problem in Western countries, accounting for up to 30% of all delivered care, and carrying a higher risk of morbidity and mortality. One of the leading drivers toward medical overuse is the so-called defensive medicine, which is commonly defined as ordering of tests, procedures, and visits, or, at variance, avoidance of high-risk patients or procedures, aimed to reduce exposure to malpractice liability. Defensive medicine may increase the amount of care provided to the patients (<em>i.e.</em>, additional tests or therapies), change care or setting of care (<em>i.e.</em>, patients referred to another specialist or another healthcare facility), or impair the optimal care (<em>i.e.</em>, refusing risky patients). Some studies seem to confirm a large utilization of defensive medicine in the emergency departments. This article tries to analyze some key points capable to pave the way to a consistent reduction of defensive medicine, thus defining a hierarchical list of priorities, keeping the patient’s health always at the center of the matter.

scholarly journals Defensive medicine among neurosurgeons in the Netherlands: a national survey

2017 ◽  
Vol 159 (12) ◽  
pp. 2341-2350 ◽  
Author(s):  
Sandra C. Yan ◽  
Alexander F. C. Hulsbergen ◽  
Ivo S. Muskens ◽  
Marjel van Dam ◽  
William B. Gormley ◽  
...  
Keyword(s):  
The Netherlands ◽  
National Survey ◽  
Defensive Medicine

Study on Defensive Medicine Practices among Obstetricians and Gynecologists Who Provide Breast Care

2011 ◽  
Vol 33 (3) ◽  
pp. 37-43 ◽  
Author(s):  
Britta L. Anderson ◽  
Albert L. Strunk ◽  
Jay Schulkin
Keyword(s):  
Defensive Medicine ◽  
Breast Care

scholarly journals Medical liability, defensive medicine and professional insurance in otolaryngology

2015 ◽  
Vol 8 (1) ◽  
Author(s):  
Sergio Motta ◽  
Domenico Testa ◽  
Ugo Cesari ◽  
Giuseppe Quaremba ◽  
Gaetano Motta
Keyword(s):  
Defensive Medicine ◽  
Medical Liability

Defensive Medicine in the Emergency Department

2013 ◽  
Vol 37 (2) ◽  
pp. 160-164 ◽  
Author(s):  
Dawn Marie Tuers
Keyword(s):  
Emergency Department ◽  
Defensive Medicine

scholarly journals Medical prescription vs defensive medicine: Results of a questionnaire answered by members of the Latina Board of Physicians, Surgeons and Dentists

2017 ◽  
Vol 22 (1-2-3) ◽  
pp. 39-43
Author(s):  
Ylenia Petrasso ◽  
Marco Straccamore ◽  
Edoardo Bottoni ◽  
Simone Cappelletti ◽  
Paola Antonella Fiore ◽  
...  
Keyword(s):  
Health Care ◽  
Insurance Coverage ◽  
Defensive Medicine ◽  
Medical Prescription ◽  
General Attitude ◽  
Health Practitioners ◽  
Final Effect

“Defensive Medicine” is intended as health practitioners’ behaviour aimed at limiting any medical - legal disputes and in addition to limiting a doctor’s responsibilities; specifically, DM is implemented by prescribing diagnostically useless tests, or by avoiding procedures that are potentially beneficial for the patient, but burdened by risk. The final effect of this medical conduct is to nullify the efficiency of health care, as well as increase times and costs. Our Group asked doctors registered with the Professional Board of Latina to answer a questionnaire aimed at investigating the perception of this issue and their behaviour in this regard, both in terms of prescriptions and insurance coverage. The results show a general attitude of distrust towards a disputed doctor and a series of behaviours aimed at avoiding such situations; the doctors interviewed asked for increased protection and less pressure in order to better carry out their work. ---------- Per “Medicina Difensiva” si intende una condotta, posta in essere dal personale sanitario, volta a limitare eventuali contenziosi medico – legali e finalizzata a limitare le responsabilità del medico; nello specifico, la MD si realizza attraverso prescrizione di esami inutili dal punto di vista diagnostico, ovvero tramite evitamento di procedure potenzialmente benefiche per il paziente, ma gravate da rischio. L’effetto finale di questa condotta medica è quello di vanificare l’efficienza dell’operato sanitario, aumentandone anche tempistiche e costi. Il Nostro Gruppo ha somministrato ai medici iscritti presso l’Ordine Professionale di Latina un questionario, volto ad indagare la percezione del problema esposto e il comportamento adottato a riguardo, sia in termini di prescrizioni che di copertura assicurativa. I risultati mostrano un atteggiamento generale di diffidenza nei confronti del contenzioso medico ed una serie di comportamenti volti ad evitare tali situazioni; i medici intervistati richiedevano una maggior tutela e una minore pressione, al fine di svolgere al meglio il proprio operato. ---------- “Medicina Defensiva” significa un comportamiento llevado a cabo por el personal de salud, dirigido a limitar cualquier disputa médicolegal y dirigido a limitar las responsabilidades del médico; específicamente, la MD se lleva a cabo prescribiendo pruebas innecesarias desde el punto de vista del diagnóstico, o evitando procedimientos que son potencialmente beneficiosos para el paciente, pero cargados por el riesgo. El efecto final de esta conducta médica es anular la eficacia de la atención médica, lo que también aumenta el tiempo y los costos. Nuestro Grupo ha entregado a los doctores inscritos en la Orden Profesional de Latina un cuestionario, dirigido a investigar la percepción del problema expuesto y el comportamiento adoptado al respecto, tanto en términos de prescripciones como de cobertura de seguro. Los resultados muestran una actitud general de desconfianza hacia el conflicto médico y una serie de comportamientos dirigidos a evitar tales situaciones; los médicos entrevistados requieren una mayor protección y menos presión, para realizar mejor su trabajo.

scholarly journals Surgeons' Views about Defensive Medicine

2020 ◽  
Vol 06 (04) ◽  
pp. 166-174
Author(s):  
Cüneyt Destan Cenger ◽  
Giray Kolcu
Keyword(s):  
Defensive Medicine
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