Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Assessment of Relationship Between Physicians' Malpractice Experience and Fear of Malpractice: Cross-Sectional Research
Hekimlerin Malpraktis Tecrübeleri ile Malpraktis Korkuları Arasındaki İlişkinin Değerlendirilmesi: Kesitsel Araştırma
Uğur UĞRAKa, Oğuz IŞIKb
aClinic of Cardiology, Hemodynamics Laboratory, Gülhane Training and Research Hospital, Ankara, TURKEY
bDepartment of Health Management, Hacettepe University Faculty of Economics and Administrative, Ankara, TURKEY
Turkiye Klinikleri J Health Sci. 2022;7(1):203-11
doi: 10.5336/healthsci.2020-80713
Article Language: EN
Full Text
ABSTRACT
 Objective: The purpose of this study is to present relationships between physician' malpractice experiences and malpractice fear. Additionally, the other purpose of this study is to evaluate whether physicians' malpractice fear are affected by malpractice experience and socio demographic characteristics. Material and Methods: The universe of this study consists of 567 physicians working in Gülhane Training and Research Hospital as of July 21, 2017 when the research was applied. Due to the difficulty of reaching the entire universe, it was determined to reach at least 229 physicians as a result of the sample calculation made at a 95% confidence level. A total of 248 physicians (Sample Proportion: 44%) were surveyed by using a convenience sampling method. Descriptive statistics were indicated with frequency, percentage, mean, and standard deviation. To evaluate relationships between the socio-demographic characteristics and malpractice experiences of physicians and, their malpractice fears, a structural model has been conducted in the AMOS 24 statistical software. Results: According to the analysis of the data, statistically significant relationships were found between the physician's self-experience of malpractice and their fear of malpractice (β=0.196; p=0.003) and colleague-experience of malpractice and their fear of malpractice (β=0.153; p= 0.009). Within the scope of the study, it was found that physicians' level of malpractice fear did not differ significantly in terms of gender, age, and status. Conclusion: Consequently, these findings indicate that experiences of physicians with malpractice, obtained while performing medical practice lead to fear of malpractice, which has important impacts on health systems in many ways. Particularly, the effect of physicians' own experience of malpractice on fear of malpractice was higher than that of their colleagues' experience of malpractice.

Keywords: Delivery of health care; malpractice; defensive medicine
ÖZET
 Amaç: Bu çalışmanın amacı, hekimlerin malpraktis deneyimleriyle malpraktis korkuları arasındaki ilişkinin ortaya konmasıdır. Ayrıca çalışmanın bir diğer amacı, hekimlerin malpraktis korkularının, malpraktis tecrübeleri ve sosyodemografik özelliklerinden etkilenip etkilenmediğinin değerlendirilmesidir. Gereç ve Yöntemler: Araştırmanın evrenini, araştırmanın uygulandığı 21 Temmuz 2017 tarihi itibarıyla Gülhane Eğitim ve Araştırma Hastanesinde görev yapan 567 hekim oluşturmaktadır. Tüm evrene ulaşmanın zor olması nedeniyle %95 güven düzeyinde yapılan örneklem hesabında en az 229 gözlem sayısı tespit edilmiştir. Olasılıksız kolayda örnekleme metodu kullanılarak 248 hekime (evrene ulaşma oranı %44) ulaşılmıştır. Verilerin analizinde, tanımlayıcı istatistiklerin yanı sıra ortalama ve standart sapmalardan yararlanılmıştır. Hekimlerin sosyodemografik özelikleri ve malpraktis tecrübeleriyle malpraktis korkuları arasındaki ilişkinin değerlendirilmesi amacıyla AMOS 24 istatistik yazılımında yapısal eşitlik modeli uygulanmıştır. Bulgular: Verilerin analizine göre hekimin yanlış uygulama deneyimiyle yanlış uygulama korkusu (β=0,196; p=0,003) ve meslektaşlarının hatalı uygulama deneyimi ve hatalı uygulama korkusu arasında istatistiksel olarak anlamlı ilişkiler bulunmuştur (β=0,153; p=0,009). Çalışma kapsamında hekimlerin malpraktis korku seviyelerinin cinsiyet, yaş ve statü gibi özelliklerine göre anlamlı farklılık göstermediği bulunmuştur. Sonuç: Sonuç olarak bu bulgular, hekimlerin tıbbi uygulama yaparken edindikleri yanlış uygulama deneyimlerinin, sağlık sistemleri üzerinde pek çok açıdan önemli etkileri olan yanlış uygulama korkusuna yol açtığını göstermektedir. Özellikle hekimlerin kendi yanlış uygulama deneyimlerinin, yanlış uygulama korkusu üzerindeki etkisi, meslektaşlarının yanlış uygulama deneyiminden daha yüksektir.

Anahtar Kelimeler: Sağlık hizmetleri sunumu; malpraktis; defansif tıp
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