医疗疏忽索赔与剖腹产分娩之间的关系
A R Localio1, A G Lawthers, J M Bengtson
1Center for Biostatics and Epidemiology, Pennsylvania State University College of Medicine, Milton S. Hershey Medical Center, Hershey 17033.
JAMA
|January 20, 1993
概括
较高的医疗疏忽索赔风险与剖腹产分娩率的增加有关. 这项研究发现,医院和医生的医疗失误风险与剖腹产产生的概率之间存在正相关性.
科学领域:
- 医疗疏忽法律 医疗疏忽法律
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 剖腹产的发生率一直是令人担忧的.
- 医疗失误索赔风险对临床决策的影响,例如剖腹产,尚未完全理解.
研究的目的:
- 调查医疗不当索赔风险与剖腹产产生的可能性之间的关联.
- 为了确定医院和医生水平的医疗失误风险与剖腹产分娩率是否相关.
主要方法:
- 1984年,对纽约州31家急症医院的电脑化出院数据进行了调查.
- 数据与医生和医院的医疗失误索赔记录联系在一起.
- 分析包括60,490次分娩,控制临床风险,患者社会经济地位和医院特征.
主要成果:
- 剖腹产与医生失误保费和每100名医生医生索赔数量有关.
- 每1000例出院病例中医院错误处理索赔的增加也与剖腹产分娩率的增加有关.
- 医生感知到的诉讼风险与剖腹产有显著的关联,但个体医生声称历史没有.
结论:
- 这些发现支持这样一个假设,即医疗不当索赔风险增加与剖腹产率更高有关.
- 医疗错误的风险似乎是导致剖腹产率的一个因素.
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