一项关于伊朗被起诉医生对医疗事故诉讼的自我报告反应的调查。

A survey of sued physicians' self-reported reactions to malpractice litigation in Iran.

作者信息

Saberi Seyed Mehdi, Sheikhazadi Ardeshir, Joghataei Hojatalah, Mohammadi Vida, Fallahian Masoumeh

机构信息

Legal Medicine Organization of Tehran, Iran.

出版信息

J Forensic Leg Med. 2009 Aug;16(6):301-6. doi: 10.1016/j.jflm.2008.12.016. Epub 2009 Jan 22.

DOI:10.1016/j.jflm.2008.12.016

PMID:19573837

Abstract

OBJECTIVE

To illustrate the psychological effect of grievances and negligence litigation on doctors sued by Legal Medicine Organization Complaints Commissions.

METHODS

Retrospective survey regarding the views of a large sample of Iranian sued physicians by using a piloted anonymous questionnaire.

RESULTS

The answer rate was 77.5%. Seventy-six per cent of participants encountered monitoring criteria for psychiatric disturbance. Rate of psychological morbidity in between study cluster was much higher than Iranian general population, Iranian non-sued general practitioners, interns and medical students. There was, however, minimal dysfunction of work, public or family life. The survey form to estimate the doctor's realization of lawful risk displayed that doctors yet misconceive medico-legal risk. Doctors being sued or having legal protests against them depict the process as an exceedingly demanding event.

CONCLUSIONS

Grievance or legal action is unusual in the daily practice of doctors, but in today's medico-legal domain they face a continuous possible threat. The threat of, or real, legal process can cause psychological, corporeal and behavioral practice changes.

摘要

目的

阐述法医组织投诉委员会起诉医生的申诉和过失诉讼对医生的心理影响。

方法

通过使用预先测试的匿名问卷，对大量被起诉的伊朗医生的观点进行回顾性调查。

结果

答复率为77.5%。76%的参与者符合精神障碍监测标准。研究组之间的心理发病率远高于伊朗普通人群、未被起诉的伊朗全科医生、实习生和医学生。然而，工作、公共或家庭生活的功能障碍极小。用于评估医生对法律风险认识的调查问卷显示，医生仍然误解医疗法律风险。被起诉或面临法律抗议的医生将这一过程描述为极其苛刻的事件。