Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Department for the Study of Culture, University of Southern Denmark, Odense, Denmark.
Scand J Prim Health Care. 2021 Dec;39(4):413-418. doi: 10.1080/02813432.2021.1970945. Epub 2021 Aug 31.
To examine the occurrence of and types of defensive medicine (DM), and the reasons for practicing DM in general practice.
Prospective survey registration of consecutive consultations regarding defensive medicine defined as: Actions that are not professionally well founded but are carried out due to demands and pressure. The GPs registered the degree of defensiveness, the type(s) of defensive action(s) and the reason(s) for acting defensively.
Danish general practice.
A total of 26 GPs registered a total of 1,758 consultations.
Defensive medical actions.
Defensive actions were performed in 12% (210/1749) of all consultations. A fifth (46/210) of the defensive actions were characterised by the GPs as 'moderately' or 'highly' defensive. Frequent types of defensive actions were: blood tests, point-of-care-tests (POCTs) and referrals. Common reasons for defensive actions were: Influence from patients, 37% (78/210), concerns of overlooking severe disease, 32% (67/210) and influence from patient relatives, 12% (25/210).
Danish GPs registered self-perceived defensive actions in a prospective survey. DM was carried out in one out of eight consultations, most often due to patient influence. The most frequent defensive actions were blood tests, POCTs and referrals.
调查普通科医生中防御性医疗（DM）的发生情况和类型，以及普遍实施 DM 的原因。
前瞻性连续会诊注册，将防御性医学定义为：无专业依据但因需求和压力而采取的行动。全科医生记录防御程度、防御行动的类型和防御行动的原因。
丹麦普通科。
26 名全科医生共登记了 1758 次会诊。
防御性医疗行为。
12%（210/1749）的所有会诊中均采取了防御性医疗行为。其中五分之一（46/210）的防御性医疗行为被全科医生描述为“中度”或“高度”防御性。常见的防御性医疗行为包括：血液检查、即时检验（POCT）和转诊。采取防御性医疗行为的常见原因是：患者的影响，37%（78/210）、担心漏诊严重疾病，32%（67/210）和患者亲属的影响，12%（25/210）。
丹麦全科医生在前瞻性调查中记录了自我感知的防御性医疗行为。DM 在八分之一的会诊中实施，最常见的原因是患者的影响。最常见的防御性医疗行为是血液检查、POCT 和转诊。
