A Survey of Patients’ Complaints against Physicians in a Five Year Period in Fars Province: Implication for Medical Education

Lila Bazrafkan, N Shokrpour, SZ Tabeie

Abstract


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Background purpose: One of the prominent sources of needs assessment is a survey of complaints and medical errors. This study aimed at determining the number and reasons of patients’ complaints against physicians during five years in Fars province, Iran.
Methods: After required correspondence and coordination with the head of Fars Medical Council, a questionnaire was prepared. As suggested by the head of medical council and also due to the secrecy of the data, two employees of medical council cooperated in collecting the data. Then the collected data were categorized and analyzed, using SPSS statistical package.
Result: The results revealed that 368 complaints have been made during five years against public hospitals, private hospitals, private offices and clinics, respectively. Most of these complaints have been made against dentists, gynecologists, ophthalmologists, orthopedists and general surgeons respectively. Based on the content analysis of the complaints, 33 cases (9% ) have been related to death, 56 cases (15%) disability and 50% misunderstanding and lack of good relationship. In 95 cases (26%), the physicians have been faulty from which 59 cases (16%) have been settled by arbitration. In 177cases (48%), physicians have not been faulty. Some cases have been closed due to the passage of time and request for stopping the claims.
Conclusion: The results of this study indicate that the majority of the complaints have been made due to a lack of proper relationship between physicians and patients, mostly related to behavioral problems. Considering the fact that one’s behavior reveals his/her attitude, there is a severe deficiency in medical education with regard to affective and attitudes domain of objectives. To solve this problem, the experts, specialists and ethics experts’ contribution is called for so that by establishing a medical curriculum committee, this aspect of medical education can be integrated in the program.
Key words: PATIENTS COMPLAINTS, NEEDS ASSESSMENT

Keywords


PATIENTS COMPLAINTS, NEEDS ASSESSMENT

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References


Ingram K, Roy L. Complaints against psychiatrists: a five year study. Psychiatric Bull.1999; 19: 620-622.

Daniel AE, Burn RJ , Orarik S. Ppatients’ complaints about medical practice . Med J. 1999; 10: 98. 02.

Amoi, M . Factors affecting the patients’ complaints about physicians. Forensic Medicine Journal. 1995; 4: 26-30.

Baker GR, Norton PG, Flintoft V, et al. The Canadian adverse events study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170: 1678-86.

Battles JB, Shea CE. A system of analyzing medical errors to improve GME curricula and prgrame. Academic Medicine. 2001; 76: 125-133.

Grant J. Learning needs assessment: assessing the need. BMJ. 2002; 324:156-159.

Asai A , Kishino M , Fukui T, et at . Postgraduate education in medical ethics in Japan. Medical Education. 1998; 32: 100-104.

Bloom SW. The medical school as a social organisation: the source of resistance to change. Med Educ,, 1989;23: 228-41.

General Medical Council Tomorrow’s poctors issued by education committee of the general medical counill London. GMC. 2006.

Abasi M. The role of physician and medical education on patient right proccess. Forensic Medicine Journal. ; 9: 82-90.

Fox E, Arnold RM , Brod B. Medical ethics education: past, present, future . Acad Med. 1995; 70: 761-9.

Coutts LC, Rogers JC. Humanism: is its evaluation captured in commonly used performance measures? Teaching and Learning in Medicine. 1999; 12: 28-32.

Amoi, M, Soltani Arabshahi K, Kahani, A. A survey of the physicians’ medical negligence referred to forensic medicine organization. Forensic Medicine Journal. 1999; 21: 15-23.

Gallagher TH, Garbutt JM, Waterman AD, et al. Choosing your words carefully: how physicians would disclose harmful medical errors to patients. Arch Intern Med. 2006;166: 1585- 93.

Bradley M, Brasel B . Core competencies in palliative care for Surgeons: interpersonal and communication skills. AM J Hosp Palliat Care. 2008; 24: 499-507.

Mosavinasab, M. Bazrafkan L. Evaluation of medical interns’ competence about ambulatory prevalent diseases. Journal of Medical Education. 2003; 4: 23-27.

Saberi Firoozi, M, Gerayi, A, Talebpour, A. A survey of the attitudes of the students of medicine in the clinical period. A paper presented at the 4th medical education seminar in Iran. 1999.

Tabei, Z, Rezai, R Medical ethics instruction as a workshop. Medicine and Purification Journal. 2002; 46: 97-100.

Education Peik, A newsletter of vice chancellery of education, Ministry of Education,1, 1992.

Adibzade, F. Medical ethics and human values. World Health. 1994; 2: 2-6.

Hafferty FW, Franks R. The Hidden curriculum, ethics teaching and the structure of medical education. Academic Medicine. 1994; 64: 861-71

Hafferty FW. Beyond curriculum reform: confronting medicine’s hidden curriculum. Acad Med. 1998; 73: 403-7.

Assor A, Gordon D. The implicit learning theory of hidden curriculum research.. J Curric Stud. 1987;19: 329-39.

John G. Review of ethics curricula in undergraduate medical education. Medical Educ. 2000; 34: 108 119.

Wright S, Kern DE, Kolodner K, Howard DE, Brancati FL. Attributes of excellent attending-physician role models. N Engl J Med. 1998; 339: 1986-93.

Seabrook MA. Medical teachers’ concerns about the clinical teaching context. Med Educ. 2003; 37: 213-22.

Lempp HK. Undergraduate Medical Education: a Transition from Medical Student to Pre-registration Doctor [dissertation]. London: Goldsmiths College, University of London, 2004.

-Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175: 889-94.




DOI: https://doi.org/10.22037/jme.v12i1,2.1098

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