Individual and Social Impacts of Medical Malpractice Complaints on Doctors: A Qualitative Study
SALĀMAT-I IJTIMĀĪ (Community Health),
Vol. 5 No. 2,
22 May 2018
,
Page 159-170
https://doi.org/10.22037/ch.v5i2.21199
Abstract
Background and Objective: Medical malpractice lawsuit can persuade physicians to be more careful in practice but each file may have many adverse consequences for doctors and patient and society. The purpose of this study is to investigate the impacts of medical malpractice lawsuit on doctors and their practice.
Materials and Methods: This qualitative study conducted by Problem-centered interview and convenience sampling. Participants were 15 physicians who were summoned to Dispute Resolution Council. After declaring the informed consent, a Semi-structured interview was conducted with each doctor. Data was analyzed by encoding and categorization.
Results: Psychological consequences include anxiety and depression; professional effects include time loss and absence from work, social consequence like loss of reputation, family members’ concern were the deleterious effects of complaints against physicians. Also changing the practice to defensive medicine is an important consequence of complaints.
Conclusion: Patient’s complaint can lead to Psychological and social consequences for physicians. Also it can result in defensive medicine that doctors avoid of admitting high risk patients and impose medically unnecessary costs to patients. Investigation of patients' complaints in preliminary expert commissions and before calling doctors to judicial authorities can help reduce these problems.
DOI: http://doi.org/10.22037/ch.v5i2.21199.
- Medical Malpractice, Patient, Physician, Defensive Medicine
How to Cite
References
Sadr S, Ghadyani M, Bagherzadeh A. Assessment of records of complaints from medical malpractice in the field of orthopedic, in the coroner’s Office of Forensic Medicine, province of Tehran, during 1988 to 2003. Scientific Journal of Forensic Medicine 2007; 13(2): 78-86 (Full Text in Persian)
World Bank. 2013. Medical Malpractice Systems Around the Globe : Examples from the US-Tort Liability System and the Sweden-No Fault System. World Bank, Washington, DC. © World Bank. Available from: https://openknowledge.worldbank.org/handle/10986/26120 (Accessed 16 Dec. 2017).
Annandale E. The Malpractice crisis and the doctor-patient relationship. Sociology of health& Illness 1989; 11(1):1-24
Taylor D. Is Medico legal work a duty? It is not. Br J Opthamol 2003; 87, 383-389
Gannon K. Mortality associated with anesthesia: a case review study. Foren Med 1997; 46: 962-966
Ciofu C. The frequency and severity of medical malpractice claims: high risk and low risk specialties. Maedica: A journal of clinical medicine 2011; 6 (3): 230–231
Farhadi Y, Golmakani M, Haghighi Z. Pirzadeh R. A survey of Medical errors in Tehran 1987-1998. Teb va Tazkiyeh. 2004;55: 21-27 (Full Text in Persian)
Rafizadeh S.M., Hajmanouchehri R, Nasaji M. Assessment of Medical Negligence of General Physicians in Sues Referring to Tehran Center Commission Between 2003 -2005. Scientific Journal of Forensic Medicine 2007; 13 (3): 152 - 157(Full Text in Persian)
Isna, 12000 medical complaints in the year passed. Available from: http://yon.ir/MZczB (Accessed 1 Jul 2017).
Kamiab F, Afshari P, Keikhahi B, Tadayon M, Vahabi Shekarloo T, Haghighizadeh M.H. A Review of Reasons of Malpractice of Obstetricians, Gynecologists and Midwives. Scientific Journal of Forensic Medicine 2016; 22(3): 165-171. (Full Text in Persian)
AdibZadeh A , Ghadi Pasha M , Pour Amiri A , Nakhaei N, Samadi Rad B, Bastani M. A study on medical malpractices ending to death and disability referred to Kerman Medical council’s medical malpractices commission. Iranian Journal of Medical Law 2012; 6(20): 141-154. (Full Text in Persian)
Ryder P, Garagounis T. I have lost my reputation: power, communication, and complaints against Medical Practitioners, southern semiotic review. 2015. Available from:http://www.southernsemioticreview.net/i-have-lost-my-reputation-power-communication-and-complaints-against-medical-practitioners-by-paul-ryder/ ((Accessed 25 Sep. 2017).
Nash L, Tennant C, Walton W. The psychological impact of complaints and negligence suits on doctors. Australian Psychiatry 2004;12:278–81.
Mechanic D. Some Social Aspects of the Medical Malpractice Dilemma. Duke Law Journal 1976; 24(6): 1179-1196
Gabe J. Key Concepts in Medical Sociology. London: Sage Publications; 2014
Tebano G, Dyar OJ, Beovic B, Béraud G, Thilly N, Pulcini C. Defensive medicine among antibiotic stewards: the international ESCMID AntibioLegalMap survey. Journal of Antimicrobial Chemotherapy 2018. Available from https://doi.org/10.1093/jac/dky098 (Accessed 19 Apr. 2018)
Berlin L. Medical errors, Malpractice, and Defensive medicine: an Ill-fated triad. Diagnosis 2017; 4(3): 133-139.
Flick U. An Introduction to qualitative research. 3th ed. London: Sage; 2006.
Joghataei H, Fallahian M, Mohammadi V, Saberi M, Masehi F. A Survey of Sued Surgeon’s Reactions to Malpractice Litigation. Scientific Journal of Forensic Medicine 2014, 19(2 And 3): 267-274 (Full Text in Persian)
Bourne T. Wynants L. Peters M. Audenhove CV. Timmerman D. Calster BV. The Impact of Complaints Procedures on the Welfare, Health and Clinical Practice of 7926 Doctors in the UK:A Cross-Sectional Survey. BMJ. 2015; Open 2015. Available from: http://bmjopen.bmj.com (Accessed 25 Apr. 2017).
Allosop J, Mulcahy L. Maintaining professional identity: doctors’ responses to complaint. Sociology of health& Illness 1998; 20 (6):802-824
Hubbard F. The Physicians’ Point of View Concerning Medical Malpractice: A Sociological perspective on the Symbolic Importance of Tort Reform. Georgia Law Review 1989; 23(2): 295
Hershey N. The Defensive Practice of Medicine. Law and Ethics in Health Care. Cambridge: MIT Press 1982
Thomas J. The Effect of Medical Malpractice. Annals of Health Law Advance Directive; 2010, 19: 306-315.
Rezaei AA, Vafaee Najar A, Houshmand E, Esmaeli H, Kouhestani S. Experience and Etiology of Defensive Medicine in View of Residents in Mashhad University of Medical Sciences in 2016. Journal of Paramedical Sciences and Reabilitation 2017; 6(2): 60-68
Tehran University of medical sciences The protocol for the informed consent 2017. Available from:http://darman.tums.ac.ir/Content/media/filepool3/2017/1/1725.pdf?t=636194658237432428. (Accessed 23 Sep. 2017)
Taghadosi nejad F, Sheikhazadi A, Yaghmaei A, Roujaei M. study of how to obtain satisfaction from hospitalized patients in surgical wards of Shariati Hospital in Tehran. Journal of Medical Council of Iran 2008 26(1):42-49
Ritchey FJ. Physician's perceptions of the suit-prone patient. Hum Organ. 1979; 38(2):160-8.
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