2003年至2013年向国家从业者数据库报告的1039名美国医生性行为不端行为的横断面分析。
Cross-Sectional Analysis of the 1039 U.S. Physicians Reported to the National Practitioner Data Bank for Sexual Misconduct, 2003-2013.
作者信息
AbuDagga Azza, Wolfe Sidney M, Carome Michael, Oshel Robert E
机构信息
Health Research Group, Public Citizen, Washington, District of Columbia, United States of America.
National Practitioner Data Bank (Retired), Department of Health and Human Services, Silver Spring, Maryland, United States of America.
出版信息
PLoS One. 2016 Feb 3;11(2):e0147800. doi: 10.1371/journal.pone.0147800. eCollection 2016.
BACKGROUND
Little information exists on U.S. physicians who have been disciplined with licensure or restriction-of-clinical-privileges actions or have had malpractice payments because of sexual misconduct. Our objectives were to: (1) determine the number of these physicians and compare their age groups' distribution with that of the general U.S. physician population; (2) compare the type of disciplinary actions taken against these physicians with actions taken against physicians disciplined for other offenses; (3) compare the characteristics and type of injury among victims of these physicians with those of victims in reports for physicians with other offenses in malpractice-payment reports; and (4) determine the percentages of physicians with clinical-privileges or malpractice-payment reports due to sexual misconduct who were not disciplined by medical boards.
METHODS AND RESULTS
We conducted a cross-sectional analysis of physician reports submitted to the National Practitioner Data Bank (NPDB) from January 1, 2003, through September 30, 2013. A total of 1039 physicians had ≥ 1 sexual-misconduct-related reports. The majority (75.6%) had only licensure reports, and 90.1% were 40 or older. For victims in malpractice-payment reports, 87.4% were female, and "emotional injury only" was the predominant type of injury. We found a higher percentage of serious licensure actions and clinical-privileges revocations in sexual-misconduct-related reports than in reports for other offenses (89.0% vs 68.1%, P = < .001, and 29.3% vs 18.8%, P = .002, respectively). Seventy percent of the physicians with a clinical-privileges or malpractice-payment report due to sexual misconduct were not disciplined by medical boards for this problem.
CONCLUSIONS
A small number of physicians were reported to the NPDB because of sexual misconduct. It is concerning that a majority of the physicians with a clinical-privileges action or malpractice-payment report due to sexual misconduct were not disciplined by medical boards for this unethical behavior.
背景
关于因性行为不端而受到执照处分、临床特权限制或有医疗事故赔偿的美国医生的信息很少。我们的目标是：（1）确定这些医生的数量，并将他们的年龄组分布与美国普通医生群体的分布进行比较；（2）将针对这些医生采取的纪律处分类型与针对因其他罪行而受纪律处分的医生采取的行动进行比较；（3）将这些医生的受害者的特征和伤害类型与医疗事故赔偿报告中因其他罪行而受处分的医生的受害者的特征和伤害类型进行比较；（4）确定因性行为不端而有临床特权或医疗事故赔偿报告但未受到医委会纪律处分的医生的百分比。
方法和结果
我们对2003年1月1日至2013年9月30日提交给国家从业者数据库（NPDB）的医生报告进行了横断面分析。共有1039名医生有≥1份与性行为不端相关的报告。大多数（75.6%）只有执照报告，90.1%的医生年龄在40岁及以上。在医疗事故赔偿报告的受害者中，87.4%为女性，“仅情感伤害”是主要的伤害类型。我们发现，与性行为不端相关的报告中，严重执照处分和临床特权撤销的百分比高于其他罪行的报告（分别为89.0%对68.1%，P = <.001，以及29.3%对18.8%，P =.002）。因性行为不端而有临床特权或医疗事故赔偿报告的医生中，70%没有因这个问题受到医委会的纪律处分。
结论
少数医生因性行为不端被报告给NPDB。令人担忧的是，大多数因性行为不端而有临床特权行动或医疗事故赔偿报告的医生没有因这种不道德行为受到医委会的纪律处分。
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