Service de Chirurgie générale B23, hôpital Charles-Nicolle, Tunis, Tunisie. / Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie.
Service de médecine légale, hôpital Charles-Nicolle, Tunis, Tunisie.
Tunis Med. 2023 Feb 10;101(2):299-305.
Writing medical certificates is part of the doctor's daily practice.
To analyze the complaints related to medical certificates filed to the Regional Council of the Order of Doctors (RCOD) of Tunis and to identify the predictive factors of disciplinary sanctions.
We collected the complaints filed to the RCOD of Tunis between 01/01/2017 and 31/12/2017, in relation to a problem with the establishment and/or the issuance of medical certificates by registered certifying doctors at RCOD, Tunis.
We collected 32 complaints, the reason for which was a certificate of convenience in 88% of cases, a drafting error in 9% of cases and a fee problem in 3% of cases. The decision of the RCOD was a closing of the file in 56% of cases, a call to order in 28% of cases and a temporary ban on practicing medicine in 16% of cases.The multivariate analysis with logistic regression identified one independent predictor of a call to order or a sanction from the RCOD, namely the fact that the doctor did not bring the file of the patient(s) having been the subject of the complaint, at the time of his invitation to RCOD Tunis (p=0.037, OR=22.66).
The doctor must always keep a medical form or a patient file, which will allow him to justify himself in the event of a complaint against him, for the reason of a certificate of convenience.
开具医疗证明是医生日常工作的一部分。
分析向突尼斯地区医师公会（RCOD）提出的医疗证明投诉，并确定纪律处分的预测因素。
我们收集了 2017 年 1 月 1 日至 12 月 31 日期间向突尼斯 RCOD 提出的与注册认证医生开具和/或签发医疗证明有关的投诉，原因是方便证书的问题。
我们共收集了 32 份投诉，其中 88%的投诉是由于方便证书，9%的投诉是由于起草错误，3%的投诉是由于费用问题。RCOD 的决定是在 56%的病例中关闭文件，在 28%的病例中责令纠正，在 16%的病例中暂时禁止行医。多变量分析与逻辑回归确定了一个独立的预测因素，即医生在被投诉的患者的文件没有被带到 RCOD 突尼斯时，RCOD 会发出传唤或处罚，这一事实（p=0.037，OR=22.66）。
医生必须始终保留一份医疗表格或患者档案，以便在因方便证书而对他提出投诉时为自己辩护。
