Taborda José Gv, Abdalla-Filho Elias, Dohler Cíntia, de Castro Bins Helena Dias
Department of Clinical Medicine, Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, Brazil.
Curr Opin Psychiatry. 2009 Sep;22(5):492-6. doi: 10.1097/YCO.0b013e32832ed802.
The authors, after a brief historical review of the theme, review the articles published in the last year. The purpose is to verify how the field has moved on during this period, as a constant increase of legal and social controls on the medical profession is perceived.
Surprisingly, very few articles treating directly the theme reviewed were found. The better part of the articles examined legal aspects of the medical profession in a nonsystematic way. Among the ones selected those that dealt with internal controls (produced by the professional categories such as the Clinical Practice Guidelines) and those that dealt with external controls (produced by other social groups) could be identified.
The authors conclude that the existence of limits and internal and external controls is fundamental for a professional medical practice of quality. However, the excess of controls, which causes a defensive attitude, may negatively interfere in the quality of the care offered to patients.
作者在对该主题进行简要历史回顾后，回顾了过去一年发表的文章。目的是验证在此期间该领域是如何发展的，因为人们察觉到对医疗行业的法律和社会控制在不断增加。
令人惊讶的是，直接论述所综述主题的文章非常少。所审查的文章中，大部分以非系统的方式探讨了医疗行业的法律方面。在所挑选的文章中，可以识别出那些涉及内部控制（由诸如临床实践指南等专业类别产生）和那些涉及外部控制（由其他社会群体产生）的文章。
作者得出结论，限制以及内部和外部控制的存在对于高质量的专业医疗实践至关重要。然而，过多的控制会导致防御性态度，可能会对提供给患者的护理质量产生负面影响。
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