Defensive Medicine in Family Physicians

Giray Kolcu; Gökmen Özceylan

doi:10.23751/pn.v23i3.11813

Defensive Medicine in Family Physicians

Authors

Giray Kolcu Süleyman Demirel University, Department of Medical Education and Informatics
Gökmen Özceylan Reşadiye Family Health Center, Çorlu, Tekirdağ, Turkey

Keywords:

Family Medicine, Defensive Medicine, , Malpractice

Abstract

Study Objectives: In this study, it is aimed to evaluate the attitudes of family physicians regarding defensive medicine. Methods: The study was designed as a cross-sectional study. In the study defensive medicine attitude scale is used. Results: 196 family physicians participated in the study. Scale raw scores average was calculated as 40.55 ± 8.30. According to total scores, 4.6% (n: 9) low, 55.6% (n: 109) medium, and 39.8% (n:78) applied high levels of defensive medicine. When the defensive medicine attitude scale score was evaluated, a statistically significant relationship was found between the participants with high defensive medicine attitude level and those who think that malpractice case will be opened in the future (p: 0.001). Conclusion: As a result the knowledge level of family physicians on the concept of defensive medicine is not enough. Increasing the knowledge level of family physicians on the concept of defensive medicine will contribute to patient safety and will decrease the financial burden on healthcare service by decreasing the fear of being sued.

Author Biography

Gökmen Özceylan, Reşadiye Family Health Center, Çorlu, Tekirdağ, Turkey

Reşadiye Family Health Center, Çorlu, Tekirdağ, Turkey

References

Vento S, Cainelli F, Vallone A. Defensive medicine: It is time to finally slow down an epidemic. World J Clin Cases. 2018;6(11):406–9.

Wikipedia. Definition of Defensive Medicine [Internet]. 2018. Available from: http://en.wikipedia.org/wiki/Defensive_medicine

Pellino IM, Pellino G. Consequences of defensive medicine, second victims, and clinical-judicial syndrome on surgeons’ medical practice and on health service. Updates Surg. 2015;67(4):331–7.

Reschovsky JD, Saiontz-Martinez CB. Malpractice Claim Fears and the Costs of Treating Medicare Patients: A New Approach to Estimating the Costs of Defensive Medicine. Health Serv Res. 2018;53(3):1498–516.

Mira JJ, Carrillo I. Defensive medicine: Meaning vs measurement. An Sist Sanit Navar. 2019;42(1):113–4.

Başer A, İnci M, Kolcu B, Kolcu G, Balci UG. Defansif Tıp Uygulamaları Tutum Ölçeğinin Türkçe Formunun Geçerlilik Ve Güvenilirliği: Ön Çalışma. Tepecik Eğit Hast Derg [Internet]. 2014;24(2):99–102. Available from: http://www.journalagent.com/terh/pdfs/TERH_24_2_99_102.pdf

Başer A, Başer Kolcu M İ, Tuncer Ö AM. Diş Hekimlerinin Defansif Diş Hekimliği Konusundaki Görüşleri: Kesitsel Bir Çalışma. Tepecik Eğit Hast Derg. 2014;24(2):103–9.

Mehmet YORULMAZ HS. Sağlık Hizmetleri Arzında Defansif Tıp Ve Hekimlerin Karar Verme Algısı. Busıness Manag Studıes An Internatıonal J. 2019;7(2):579–90.

Yeşiltaş A ER. Defansif tıp uygulamalarına yönelik bir derleme. Süleyman Demirel Üniversitesi vizyoner Derg. 2019;10(23):137–50.

Başer A, Kolcu G, Çığırgil Y, Kadınkız B ÖK. İzmir Karşıyaka ilçesinde görev yapan aile hekimlerinin defansif tıp uygulamaları ile ilgili görüşlerinin değerlendirilmesi. Symrna Tıp Derg. 2014;(16):24.

Mira JJ, Carrillo I. Defensive medicine in primary care. An Sist Sanit Navar. 2018;41(2):273–5.

Kolcu G. TCSB İzmir Ege Doğumevi ve Kadın Hastalıkları Eğitim Ve Araştırma Hastanesi’nde Çalışan Kadın Hastalıkları Ve Doğum Uzmanı Hekimler ile Asistan Hekimlerin Defansif Tıp Uygulamaları ile İlgili Görüşlerinin Değerlendirilmesi. İzmir Bozyaka Eğitim Araştırma Hastanesi Aile Hekimliği Kliniği. İzmir; 2013.

Kolcu G, Başer A, İnci M, Kolcu B, Balcı UG, Öngel K. Specialist and Assistant Gynecologists ’ Views about Defensive Medicine : Cross- sectional Study. Sch J Appl Med Sci. 2016;4(2A):326–30.

Hu, L., & Bentler PM. Cut off criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model. 1999;6(1):1–55.

MacCallum, R. C., Browne, M. W., & Sugawara HM. Power analysis and determination of sample size for covariance structure modeling. Psychol Methods. 1996;1(2):130–149.

Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berlin, Ger. 2017;4(3):133–9.

Dudeja S, Dhirar N. Defensive medicine: Sword of Damocles. Natl Med J India [Internet]. 2018 Dec 1;31(6):364–5. Available from: http://www.nmji.in/article.asp?issn=0970-258X

Jd JRC. Defensive Medicine. Air Med J [Internet]. 2015;34(6):314–6. Available from: http://dx.doi.org/10.1016/j.amj.2015.08.004

Hiyama, T., Yoshihara, M., Tanaka, S., Urabe, Y., Ikegami, Y. et al. Defensive Medicine Practices Among Gastroenterologists In Japan. World J Gastroenterol. 2006;12(47):7671–5.

Solaroglu I, Izci Y, Yeter Gokce, Metin MM KG. Health tranformation Project and defensive medicine practice among neurosurgeons in Turkey. PLoS One. 9(10:e 111446).

Biçen E. Tıpta uzmanlık öğrencilerinin defansif tıp konusundaki tutumlarının araştırılması. Dokuz Eylül Üniversitesi, İzmir; 2018.

Moosazadeh M, Movahednia M, Movahednia N, Amiresmaili M AI. Determining the frquency of defensive medicine among general practitioner in southeast. Iran Int J Heal Policu Manag. 2014;2(3):119–23.

Hermer L BH. Defensive Medicine, Cost Containment, and Reform. J Gen Intern Med. 2010;25(5):470–3.

Göçen Ö, Yılmaz A, Aslanhan H, Celepkolu T, Tuncay S, Dirican E. Assistant Physicians Knowledge and Attitudes about Defensive Medical Practices, Work-Related Stress and Burnout Levels. Turkish J Fam Med Prim Care. 2018;12(2):77–87.

Musa ÖZATA, Kubilay ÖZER YA. Konya İl Merkezinde Çalışan Hekimlerde Defansif (Çekinik) Tıp Uygulamalarının Araştırılması. Gümüşhane Univ J Heal Sci. 2018;7(1):132–9.