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FISH for Pre-implantation Genetic Diagnosis
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イギリス諸島における訴訟の恐れへの反応として,産科の実践の変化
M Ennis1, A Clark, J G Grudzinskas
1Department of Psychology, University College London, UK.
Lancet (London, England)
|September 7, 1991
まとめ
イギリスの産婦人科医は,医療過失の請求や訴訟を恐れて,不正確な検査であっても,胎児と母親の健康検査を使用しています. この防御的医療実践は,患者のケアに関する意思決定に影響を与えます.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 医療法 医療法 医療法について
- クリニカル・プラクティス クリニカル・プラクティス
背景:
- イギリスで医療過失訴訟が増加しています.
- 産婦人科医の防御医療に関する懸念.
研究 の 目的:
- 胎児と母親の健康検査に対する産婦人科医の態度を調査する.
- これらの検査が患者のケアに関する意思決定に与える影響を理解する.
主な方法:
- 3194人のフェローとロイヤル・カレッジ・オブ・オステトリックス・アンド・ジネコロジストの会員を対象とした調査.
- 様々な胎児と母親の健康検査の認識された正確性を評価した.
- 試験利用の理由を調査した.
主要な成果:
- 検定の精度は大きく異なっていた (胎児の血液採取は86.3%,生化学検査は25.9%).
- 精度が低いテストは依然として広く使用されていました.
- 主要な理由として挙げられるのは,臨床的判断への補助と,医療法上の必要性である.
結論:
- 不正確な検査は,訴訟の恐れのために臨床実務で使用されています.
- 防衛的医療の実践は,産婦人科の介護で明らかです.
- 発見は,異なる人口統計と実践の場所において一貫していました.
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