Giuvara Constantin Răzvan, Costan Victor Vlad, Boisteanu Otilia, Armencia Adina, Ciofu Mihai, Cernei Eduard Radu, Balcos Carina, Iliescu Bulgaru, Calin Gabriela, Hurjui Loredana Liliana
Department of Medical Disciplines, Faculty of Dentistry, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Department of Medical Disciplines, Faculty of Medicine and Pharmacy, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Healthcare (Basel). 2024 Sep 10;12(18):1803. doi: 10.3390/healthcare12181803.
Maxillofacial trauma, as seen from a medico-legal point of view, is an integral part of medical practice in emergency departments. Therefore, general practitioners should have sufficient knowledge about their roles and responsibilities in managing these cases. This study aimed to assess general practitioners' knowledge, practices, and attitudes regarding managing medico-legal cases (MLCs).
This study included 113 general practitioners from St. Spiridon Hospital in Iasi, Romania. Participants completed a self-administered structured questionnaire assessing the knowledge, attitudes, and practices of general practitioners regarding the handling of medico-legal cases.
The scores obtained for the level of knowledge, attitudes, and practices indicate a good level of knowledge on the part of the responding doctors, with the average value being 38, in a range from 0 to 49 (min. value 28-max wave. 47). The score regarding the attitudes of doctors related to the management of medico-legal cases is modest, with the average value being 37 points out of a maximum of 60 points (min. 14-max. 51). The same situation is recorded in the case of practices regarding the management of medico-legal cases, with the average value being 68 out of a maximum value of 90 (min. 38-max. 84).
This study's results revealed the absence of a well-defined protocol for the recognition and handling of medico-legal cases among general practitioners from Iasi and the need to improve the level of attitudes and practices regarding the management of medico-legal cases. The limitations of this study included the relatively small sample from a single hospital and the use of a methodology based on self-administered questionnaires, which may be subjective. Accordingly, future studies should involve larger and more diverse samples to monitor changes in knowledge and practices over time and qualitative methodologies to gain deeper physician-related insights into medical case management.
从法医学角度来看，颌面创伤是急诊科医疗实践的一个组成部分。因此，全科医生应对管理这些病例的职责有充分的了解。本研究旨在评估全科医生对处理法医学案件（MLC）的知识、实践和态度。
本研究纳入了罗马尼亚雅西圣斯皮里东医院的113名全科医生。参与者完成了一份自我管理的结构化问卷，评估全科医生在处理法医学案件方面的知识、态度和实践。
知识水平、态度和实践方面获得的分数表明，应答医生的知识水平良好，平均值为38分，范围在0至49分之间（最小值28分 - 最大值47分）。医生对法医学案件管理的态度得分适中，满分60分的情况下平均值为37分（最小值14分 - 最大值51分）。法医学案件管理实践方面也有同样的情况，满分90分的情况下平均值为68分（最小值38分 - 最大值84分）。
本研究结果显示，雅西的全科医生在识别和处理法医学案件方面缺乏明确的方案，且需要提高法医学案件管理的态度和实践水平。本研究的局限性包括来自单一医院的样本相对较小，以及使用基于自我管理问卷的方法，这可能具有主观性。因此，未来的研究应纳入更大、更多样化的样本，以监测知识和实践随时间的变化，并采用定性方法，以更深入地了解医生在医疗案件管理方面的见解。
