Gómez-Durán E L, Vizcaíno-Rakosnik M, Martin-Fumadó C, Klamburg J, Padrós-Selma J, Arimany-Manso J
Professional Liability Department, Barcelona's College of Physicians, Barcelona, Spain; Medicine Department, Universitat Internacional de Catalunya, Barcelona, Spain; Professional Liability and Legal Medicine Chair, Universitat Autònoma de Barcelona, Barcelona, Spain.
Professional Liability Department, Barcelona's College of Physicians, Barcelona, Spain; Medicine Department, Universitat Internacional de Catalunya, Barcelona, Spain.
J Healthc Qual Res. 2018 Sep-Oct;33(5):284-289. doi: 10.1016/j.jhqr.2018.06.002. Epub 2018 Oct 22.
Being sued for malpractice is extremely stressful and potentially traumatizing. We aim to identify claims' consequences on the physicians' well-being and medical practice.
We administered a confidential telephonic survey to those physicians with a claim closed during 2014, among those insured by the main professional liability insurance company in the region. The questionnaire addressed several topics: symptoms and well-being changes, needs, impairments and practice changes. We used descriptive statistics as well as Chi-square and T-Student tests.
A total of 99 physicians responded to the questionnaire (response rate of 64.7%). Most of them (80.8%) acknowledged having suffered a significant emotional distress, no matter the claim's outcome (p=0.958) or the kind of procedure (p=0.928). Anger and mood cluster of symptoms were frequent, and the experience frequently affected their personal, family or social life and professional conduct. Practice changes correlated significantly and positively with the number of symptoms reported (p=0.010), but not with the outcome of the claim (p=0.338) or the kind of procedure (p=0.552).
Most claimed physicians suffer a significant emotional distress after a malpractice claim, which affects their professional performance. According to our results, they should be assessed and assisted in order to minimize the negative consequences on their well-being and their praxis.
因医疗事故被起诉极具压力，且可能造成精神创伤。我们旨在确定此类指控对医生的身心健康及医疗实践的影响。
我们对该地区主要职业责任保险公司承保的、在2014年结案的医疗事故指控相关医生进行了一次保密电话调查。问卷涉及几个主题：症状及身心健康变化、需求、功能障碍及医疗实践变化。我们使用了描述性统计以及卡方检验和t检验。
共有99名医生回复了问卷（回复率为64.7%）。他们中的大多数（80.8%）承认无论指控结果如何（p = 0.958）或手术类型如何（p = 0.928），都遭受了严重的情绪困扰。愤怒和情绪类症状很常见，且这种经历经常影响他们的个人、家庭或社交生活以及职业行为。医疗实践的变化与所报告症状的数量显著正相关（p = 0.010），但与指控结果（p = 0.338）或手术类型（p = 0.552）无关。
大多数被指控的医生在医疗事故指控后遭受严重的情绪困扰，这会影响他们的专业表现。根据我们的研究结果，应对他们进行评估和帮助，以尽量减少对其身心健康和医疗实践的负面影响。
