Quantifying the defensive medicine contribution to primary care costs

Brateanu, Andrei; Schramm, Sarah; Hu, Bo; Boyer, Kristen; Nottingham, Kelly; Taksler, Glen B.; Jolly, Stacey E.; Goodman, Kenneth W.; Misra‐Hebert, Anita D.; Vakharia, Nirav; Hamilton, Aaron; Bales, Robert; Manne, Mahesh; Lathia, Amanda; Deshpande, Abhishek; Rothberg, Michael B.

doi:10.3111/13696998.2014.959125

Cited by 20 publications

(20 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Moreover, it is impossible to measure the portion of unconsciously practised DM, because it originates from requests by other specialists or because it is incorrectly ordered due to ignorance of best-practices evidence [10]. The cost of DM is also difficult to estimate due to the different methods that have been used in the literature [13,18,20,33]. We believe this measurement issue is the major limitation of our study and indeed all studies investigating DM.…”

Section: Study Limitationsmentioning

confidence: 65%

See 1 more Smart Citation

Defensive medicine in Italy a nationwide survey

Panella¹

2016

Fifth International Conference on Advances in Economics, Management and Social Study - EMS 2016

View full text Add to dashboard Cite

Section: Study Limitationsmentioning

confidence: 65%

“…Lastly, our study was performed at the hospital level. We believe that future research on DM should aim to replicate our findings in primary-care settings, in particular sampling the opinions of general practitioners [4,33].…”

Section: Study Limitationsmentioning

confidence: 99%

Defensive medicine in Italy a nationwide survey

Panella¹

2016

Fifth International Conference on Advances in Economics, Management and Social Study - EMS 2016

View full text Add to dashboard Cite

“…Las limitaciones de este estudio fueron que no se examinó el nivel de conocimiento de la MD entre los entrevistados, ya que muchos médicos no estaban familiarizados con el término y practicaban conductas defensivas, no se incluyó a médicos residentes en formación de las especialidades, a pesar de ser un hospital escuela. La medicina acarrea un amplio margen de gasto, Bratenau et al calcularon el costo de la atención médica defensiva por paciente en un 3,1%, cuenta (2,29) pendiente sería calcular el costo que representa la práctica de la MD en el IPS .…”

Section: Discussionunclassified

Defensive medicine in the Emergency Services of the Hospital Central of the Instituto de Prevision Social

Britos

Denis

Ayala

et al. 2018

Rev. virtual Soc. Parag. Med. Int

View full text Add to dashboard Cite

Métodos: se administró un cuestionario de autoevaluación de tipo Likert validado, a los médicos de atención de emergencia; se exploraron variables relacionadas al sexo, edad, especialización, años de práctica, antecedentes legales previos y turnos de trabajo. Resultados: se evaluó a 220 médicos de 8 Servicios de Urgencias, el 82% practicaba medicina defensiva. Los médicos varones mostraron un comportamiento más defensivo (p=0,1). Emergentología, Traumatología y Ortopedia fueron las especialidades con mayor práctica de medicina defensiva (100%). Ginecología y Obstetricia tuvo el mayor número de demandas. Conclusión: la medicina defensiva se presenta en un alto porcentaje en los Servicios de Urgencias pues 82% de los médicos practican algún grado de la misma, siendo mayor en varones y en las especialidades Emergentología y Traumatología y Ortopedia Palabras claves: medicina defensiva, mala praxis, responsabilidad legal, servicio de urgencia en hospital. ABSTRACT Objective:To determine the degree of defensive medicine practiced in the Emergency Services of the Hospital Central of the Instituto de Previsión Social, Asunción-Paraguay. Methods: A validated Likert-type self-assessment questionnaire was administered to emergency care physicians. Variables related to sex, age, specialization, years of practice, previous legal background and work shifts were explored. Results: Two hund1red and twenty physicians from eight Emergency Services were evaluated, 82% practiced defensive medicine. The male doctors showed a more defensive behavior (p=0.1). Emergentology, Traumatology and Orthopedics were the specialties with the highest practice of defensive medicine (100%). Gynecology and Obstetrics had the highest number of demands. Conclusion:Defensive medicine is presented in a high percentage in the Emergency Services because 82% of doctors practice some degree of it, being higher in males and in the specialties Emergentology, Traumatology and Orthopedics

show abstract

“…Monetary awards were sought to compensate not only the injured party, but those involved in the determination of the case. The cost and frequency of cases like this may affect both health and medical malpractice insurance premiums for all, erodes the desire for new discovery and increases the cost of treatment to cover individual clinic visits and excessive evaluations involving unwarranted imaging and laboratory testing and effectively limits physicians' willingness to offer potentially effective treatments [24][25][26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%