关键词: care communication errors health economics health system liability malpractice management obstetrics

Mesh : Humans Italy Medical Errors / statistics & numerical data Obstetrics Female Pregnancy Malpractice / statistics & numerical data Communication Adult Surveys and Questionnaires Male Attitude of Health Personnel Obstetric Labor Complications / epidemiology Middle Aged

来  源:   DOI:10.7417/CT.2024.5068

Abstract:
UNASSIGNED: Mistrust of doctors and the desire for compensation are driving a rise in malpractice litigation worldwide.
UNASSIGNED: To estimate the extent to which Italians view birth complications as malpractice in obstetric care, and how widespread this perception is.
UNASSIGNED: WhatsApp® and Facebook® contacts of one of the authors were invited to respond to an online questionnaire. The answers of 265 Italian respondents were used to estimate how common the perception of obstetric staff errors is and how this perception spreads over time: the denigration curve. To test if the denigration curve is reliable, the curve has been plotted along with the trend of the rate of litigation in Italy.
UNASSIGNED: Almost a 50% of respondents deemed that birth complications are due to obstetric staff errors. The likelihood of the percep-tion that one has experienced a birth complication was 64.5%. The communication of obstetric staff error seemed low overall among the respondents. The denigration curve shape is almost coincident with the curve of claim rates in Italy, proving that it would be reliable.
UNASSIGNED: The respondents provided an estimate of the rate of birth complications that was higher than the real occurrence rate, and attributed these complications to obstetric staff errors. The denigration curve could predict whether and when there might be litigation related to any birth complications (both error related and non-error related).
摘要:
对医生的不信任和对赔偿的渴望正在推动全球医疗事故诉讼的增加。
为了估计意大利人将分娩并发症视为产科护理中的渎职行为的程度,以及这种看法有多普遍。
其中一位作者的WhatsApp®和Facebook®联系人被邀请回复在线问卷。265名意大利受访者的答案被用来估计对产科工作人员错误的看法有多普遍,以及这种看法如何随时间传播:贬低曲线。要测试去分化曲线是否可靠,这条曲线是与意大利诉讼率的趋势一起绘制的。
几乎50%的受访者认为分娩并发症是由于产科工作人员的错误。发生出生并发症的可能性为64.5%。在受访者中,产科工作人员的沟通错误总体上似乎很低。贬低曲线形状几乎与意大利的索赔率曲线一致,证明它是可靠的。
受访者提供了高于实际发生率的出生并发症发生率的估计,并将这些并发症归因于产科工作人员的错误。贬低曲线可以预测是否以及何时可能存在与任何出生并发症相关的诉讼(与错误相关的和与非错误相关的)。
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