Dantile Nokuzola D, Mshunqane Nombeko, van Staden Cornelius W
Department of Physiotherapy, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Centre for Ethics and Philosophy of Health Sciences, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
S Afr J Physiother. 2024 Nov 29;80(1):2090. doi: 10.4102/sajp.v80i1.2090. eCollection 2024.
Complaints of ethical and professional misconduct are lodged and processed by the Health Professions Council of South Africa (HPCSA) in accordance with their legal mandate.
This study describes the nature and frequency of transgressions by physiotherapists as concluded by the HPCSA for the period from 2010 to 2020.
A total sampling method was used to extract all records of transgressions lodged against physiotherapists between 2010 and 2020. In a quantitative retrospective records review design, data were captured with the objective to report these descriptively. Ethics approval was granted by the Faculty of Health Sciences Research Ethics Committee of the University of Pretoria and permission to use the records was granted by HPCSA.
Twenty-one transgressions by physiotherapists during the study period were recorded at the HPCSA. Most transgressions were charging for services not rendered ( = 20 times), invoices drafted inaccurately ( = 17) and false claims submitted to the medical aid schemes ( = 15). Other transgressions included failure to obtain informed consent and patient identity prior to treatment, charging for an unkept appointment, overservicing, misleading advertisements, love relationship with a patient and treating an animal in the same practice as humans.
The transgressions were unprofessional in nature with the most frequently reported being false claims and accounts submitted to the medical aid by physiotherapists for services not rendered.
The knowledge of transgressions will influence decision making and restrain infringement to enhance sound ethical practice.
有关道德和职业不当行为的投诉由南非卫生专业人员委员会(HPCSA)根据其法定职责进行受理和处理。
本研究描述了HPCSA在2010年至2020年期间认定的物理治疗师违规行为的性质和频率。
采用全样本抽样方法提取2010年至2020年期间针对物理治疗师的所有违规记录。在定量回顾性记录审查设计中,收集数据的目的是对这些数据进行描述性报告。比勒陀利亚大学健康科学研究伦理委员会批准了伦理审查,HPCSA批准了使用这些记录的许可。
HPCSA记录了研究期间物理治疗师的21起违规行为。大多数违规行为是对未提供的服务收费(20次)、发票开具不准确(17次)以及向医疗救助计划提交虚假索赔(15次)。其他违规行为包括在治疗前未获得知情同意和患者身份信息、对未赴约的预约收费、过度服务、误导性广告、与患者恋爱关系以及在同一执业场所同时治疗动物和人类。
这些违规行为本质上是不专业的,最常报告的是物理治疗师向医疗救助机构提交未提供服务的虚假索赔和账目。
对违规行为的了解将影响决策并抑制侵权行为,以加强良好的道德实践。