Legal-Medicine Department, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy of Iasi, 700115 Iasi, Romania.
Behavioral Sciences Department, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy of Iasi, 700115 Iasi, Romania.
Medicina (Kaunas). 2022 Feb 14;58(2):287. doi: 10.3390/medicina58020287.
: Medical malpractice is a phenomenon that shadows current medical practice, the number of complaints following an upward trend worldwide. The background for complaints is related both to the doctor and medical practice in general, as well as to the patient. The aim of this study was to identify a profile of the Romanian doctors who are more prone to receiving complaints, by analyzing the socio-demographic, professional and institutional characteristics. : We conducted a quantitative, prospective research, the data being collected using a newly developed questionnaire. Data analysis was performed with the IBM Statistical Package for Social Sciences (SPSS, version 24). We used counts, percentages, means and standard deviation, and comparative and correlational analyses. A logistic regression model was applied to select a statistically best-fit model to identify independent predictors for receiving complaints; a Hosmer-Lemeshow test was used to check the performance of the prediction model. : The study group consisted of 1684 doctors, of which 16.1% had been involved in a malpractice complaint. Results showed that men, senior doctors from surgical specialties who perform a greater number of on-call shifts, those who work in regional or county hospitals, those who have greater fear of receiving complaints and those whose life partner is a doctor with the same specialty are more prone to receiving complaints. : The profile identified by the present research underlines the main characteristics that could be targeted with specific measures in order to prevent the ongoing increase of malpractice complaints in Romania.
: 医疗事故是当前医疗实践中的一个现象,全球范围内的投诉数量呈上升趋势。投诉的背景既与医生和医疗实践有关,也与患者有关。本研究旨在通过分析社会人口统计学、职业和机构特征,确定罗马尼亚更容易收到投诉的医生的特征。 : 我们进行了一项定量、前瞻性研究,使用新开发的问卷收集数据。使用 IBM 统计软件包(SPSS,版本 24)进行数据分析。我们使用了计数、百分比、平均值和标准差,以及比较和相关分析。应用逻辑回归模型选择一个统计学上最佳的模型来识别接收投诉的独立预测因子;使用 Hosmer-Lemeshow 检验来检查预测模型的性能。 : 研究组由 1684 名医生组成,其中 16.1%的医生曾涉及医疗事故投诉。结果表明,男性、外科专业的资深医生、值班次数较多的医生、在地区或县级医院工作的医生、对收到投诉的恐惧程度较高的医生、以及其生活伴侣是同专业医生的医生更容易收到投诉。 : 本研究确定的特征突出了罗马尼亚可以针对特定措施的主要特征,以防止医疗事故投诉的持续增加。