探索防御医学:例子,潜在和上下文因素,以及潜在的策略 - - 一项定性研究
Mohammad Hossein Eftekhari1, Alireza Parsapoor2, Ayat Ahmadi3
1Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
BMC medical ethics
|October 10, 2023
概括
防御医学 (DM) 涉及医生订购不必要的测试或由于担心投诉而避免某些程序. 这项定性研究探讨了DMD.
科学领域:
- 医疗保健政策和管理
- 医疗道德和专业精神 医疗道德和专业精神
- 质量健康研究 质量健康研究
背景情况:
- 患者的投诉,医疗错误和治疗并发症可能导致医生采用防御医学 (DM) 实践.
- 防御性医学可能会对患者造成伤害,增加医疗保健成本和道德冲突.
- 了解DM的驱动因素和表现对于改善医疗保健系统至关重要.
研究的目的:
- 质量地探索医生对防御医学 (DM) 的看法.
- 确定导致DM的潜在因素和背景因素.
- 提出在医疗保健中解决和预防DM的策略.
主要方法:
- 与43名具有广泛临床和行政经验的医生进行了半结构化采访.
- 利用有目的的抽样招募参与者在医学大学和卫生政策中的不同角色.
- 持续收集数据,直到数据和为止,以确保全面的洞察力.
主要成果:
- 防御医学 (DM) 以积极的方式表现 (例如,不必要的测试) 和消极的方式 (例如,避免高风险的程序).
- 导致DM的关键因素包括组织管理,社会,个人和实践固有的因素.
- 拟议的缓解DM的策略包括组织变革,社会干预以及改进的投诉管理系统.
结论:
- 防御医学 (DM) 是一个复杂的问题,需要全面了解其多方面的性质和促成因素.
- 该研究为有关DM的医疗保健政策决策提供了基础,并提出了解释性建议.
- 政策制定者应该将这些发现与现有证据相结合,以采取全面的DM方法.
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