Tanriverdi Ozgur, Cay-Senler Filiz, Yavuzsen Tugba, Turhal Serdar, Akman Tulay, Komurcu Seref, Cehreli Ruksan, Ozyilkan Ozgur
Department of Medical Oncology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla Universitesi Egitim ve Arastirma Hastanesi, Onkoloji Poliklinigi, 48000, Mugla, Turkey,
Med Oncol. 2015 Apr;32(4):106. doi: 10.1007/s12032-015-0555-5. Epub 2015 Mar 7.
Defensive medicine occasionally indulges unnecessary treatment requests to defend against lawsuits for medical errors and the use of unapproved medical applications. This study determines the attitudes and orientations of medical oncologists on defensive medicine. A cross-sectional survey was sent by e-mail to medical oncologists. The survey was designed to determine the participants' demographic characteristics and defensive medicine practices. The survey measured the attitudes about defensive medicine practices of the oncologists based on a five-point Likert scale (never, rarely, sometimes, often, and always). One hundred and forty-six of a total of 402 physicians serving in oncology were fully filled, and the rate of return invitation was 36 %. The majority of participants were male, with a duration of between 7 and 9 years of work as university hospital officials, and the mean age was 46 ± 9 (years). International guidelines were followed in the most common is NCCN, and the majority of respondents felt that the application of these guidelines improves their defensive medicine. All participants of defensive medicine who stand on the basis of the definition were found to be more afraid of complaints by patients' relatives. Physicians of 45 % was noted that applying defensive medicine. Among the participants were the most frequent checkups of positive defensive approach is defined as increasing or shortening the follow-up period, while avoiding high-risk patients were detected as described in the definition of negative defensive medicine. Both professional groups in both the positive and negative defensive medicine approach defensive medicine approach, academic tasks, work experience and job time, there was a significant correlation between the location. Made in single- and multi-variable analyses, positions were identified both positive and negative defensive medicine is an independent risk factor for direction. Improving the working conditions of young physicians to protect against medical error may require additional educational opportunities.
防御性医疗有时会迁就不必要的治疗请求，以防范因医疗失误和使用未经批准的医疗应用而引发的诉讼。本研究确定了肿瘤内科医生对防御性医疗的态度和倾向。通过电子邮件向肿瘤内科医生发送了一项横断面调查。该调查旨在确定参与者的人口统计学特征和防御性医疗行为。该调查基于五点李克特量表（从不、很少、有时、经常、总是）测量了肿瘤内科医生对防御性医疗行为的态度。在总共402名从事肿瘤学工作的医生中，有146人完整填写了问卷，回复率为36%。大多数参与者为男性，作为大学医院工作人员的工作年限在7至9年之间，平均年龄为46±9岁。最常遵循的国际指南是美国国立综合癌症网络（NCCN）指南，大多数受访者认为应用这些指南可改善他们的防御性医疗。所有基于该定义的防御性医疗参与者都被发现更害怕患者亲属的投诉。45%的医生表示会应用防御性医疗。在参与者中，最常见的积极防御性医疗方法的检查是延长或缩短随访期，而消极防御性医疗的定义中所述的避免高风险患者也被检测到。在积极和消极防御性医疗方法、学术任务、工作经验和工作时间方面，两个专业组之间在工作地点上存在显著相关性。在单变量和多变量分析中，确定职位是积极和消极防御性医疗方向的独立风险因素。改善年轻医生的工作条件以防止医疗失误可能需要额外的教育机会。
