Volume 16 - Supplement
IJMEHM 2023, 16 - Supplement: 2-10 |
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Eftekhari M H, Parsapour A, Ahmadi A, Larijani B, Yavari N, Shamsi Gooshki E. Policy Brief for Management and Prevention of Defensive Medicine in the Iranian Health System. IJMEHM 2023; 16 (S1) : 2
URL: http://ijme.tums.ac.ir/article-1-6654-en.html
URL: http://ijme.tums.ac.ir/article-1-6654-en.html
Mohammad Hossein Eftekhari1 
, Alireza Parsapour2 , Ayat Ahmadi3 , Bagher Larijani4 , Neda Yavari5 , Ehsan Shamsi Gooshki * 6
, Alireza Parsapour2 , Ayat Ahmadi3 , Bagher Larijani4 , Neda Yavari5 , Ehsan Shamsi Gooshki * 6
1- PhD Candidate Department of Medical Ethics, School of Medicine, Tehran University of Medical Sciences
2- Assistant Professor Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences
3- Associate Professor Knowledge Utilization Research Center, Tehran University of Medical Sciences
4- Emeritus Professor Endocrinology and Metabolism Research Centre
5- Assistant Professor Department of Medical Ethics, School of Medicine, IsfahanUniversity of Medical Sciences
6- Associate Professor Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences Tehran, Iran
2- Assistant Professor Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences
3- Associate Professor Knowledge Utilization Research Center, Tehran University of Medical Sciences
4- Emeritus Professor Endocrinology and Metabolism Research Centre
5- Assistant Professor Department of Medical Ethics, School of Medicine, IsfahanUniversity of Medical Sciences
6- Associate Professor Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences Tehran, Iran
Abstract: (333 Views)
Defensive medicine is performing actions that have no medical indication and benefit for the patient (positive defensive medicine) or refraining from performing risky actions that have a medical indication and benefit for the patient (negative defensive medicine). These actions are carried out by the physicians with the sole motive of protecting themselves against complaints or tensions such as the protest of the patient or colleagues and usually cause physical, psychological, or economic harm to the patient or the institution that pays the treatment fee, such as insurance organizations. It can have consequences in terms of the quality of care and the efficient use of limited health resources. Factors such as the physician’s concerns about lawsuits and proceedings may lead to defensive behaviors. This study presented suggestions for the management and prevention of such behaviors, including three main categories related to the strategies for the reformation of the patient complaint handling system, social strategies for the management and prevention of defensive medicine, and managerial-organizational strategies. These strategies are based on the findings of a mixed-methods research including an unsystematic review of resources and a qualitative study conducted using semi-structured interviews. The results have been discussed by the Medical Ethics Committee of the Academy of Medical Sciences of Iran.
Article number: 2
Type of Study: Research |
Subject:
Medical Ethics
Received: 2024/01/2 | Accepted: 2024/01/7 | Published: 2023/12/31
Received: 2024/01/2 | Accepted: 2024/01/7 | Published: 2023/12/31
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