Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Diş Hekimliğinde Defansif Tıp: Konya Örneği
Defensive Dentistry: The Example of Konya
Musa ÖZATAa, Arslan TERLEMEZb, Kubilay ÖZERc, Yusuf AKKOCAa
aİşletme Bölümü, Kırşehir Ahi Evran Üniversitesi İktisadi ve İdari Bilimler Fakültesi, Kırşehir, TÜRKİYE
bEndodonti AD,
cHastane İşletmeciliği, Necmettin Erbakan Üniversitesi Diş Hekimliği Fakültesi, Konya, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2019;4(2):179-88
doi: 10.5336/healthsci.2018-63278
Article Language: TR
Full Text
ÖZET
 Amaç: Tanımlayıcı nitelikte olan bu çalışmada, diş hekimlerinin defansif tıp uygulamalarına yönelik bilgi, tutum ve davranışlarının belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışma, 2016 yılının Ağustos-Eylül tarihleri arasında Konya'da çeşitli kamu kuruluşları ile özel sektörde görev yapan ve araştırmaya katılmayı kabul eden 229 hekim üzerinde, yüz yüze anket tekniği kullanılarak gerçekleştirilmiştir. Diş hekimlerin defansif tıp uygulamalarına yönelik bilgi tutum ve davranışlarını ölçmek için araştırmacılar tarafından geliştirilen 'Diş Hekimliği Defansif Tıp Uygulamaları Envanteri' kullanılmıştır. Envanterde toplam 18 soru yer almaktadır. Sorulara verilen yanıtlar 'evet-hayırkararsızım' şeklinde sıralanmıştır. Toplanan veriler üzerinde tanımlayıcı istatistikler ve ki-kare testleri uygulanmıştır. Bulgular: Çalışma sonucunda diş hekimlerinden 140 (%61,1)'ı daha önce defansif tıp kavramını duymadığını, 203 (%88,6)'ü defansif tıp uygulamaları kavramının içeriğini yeterince bilmediğini, 217 (%94,8)'si hekimlik yaşamı boyunca malpraktis nedeni ile kendisine soruşturma/dava açılmadığını, 161 (%70,3)'i malpraktis davalarının hekimlik yapma biçimini etkileyeceğini belirtirken, 195 (%85,2)'i malpraktis davalarının sayısında artış olduğuna inandığını ifade etmiştir. Malpraktis davası ile karşılaşmamak için katılımcıların %57,2'si görüntüleme tetkiklerini daha sık kullandığını, %56,8'i fazladan konsültasyon istediğini, %47,2'si fazladan tetkik istediğini ve %43,7'si riskli hastalardan kaçındığını belirtmiştir. Sağlık Bakanlığına bağlı kurumlarda görev yapan diş hekimlerinde defansif tıbba başvurma oranı daha yüksek bulunmuştur. Sonuç: Bu çalışmada elden edilen sonuçlar, diş hekimlerinin önemli oranda pozitif ve negatif tıp uygulamalarına yöneldiğini göstermektedir. Bulgular literatür ile uyumludur.

Anahtar Kelimeler: Defansif tıp; pozitif defansif tıp; negatif defansif tıp; diş hekimleri
ABSTRACT
 Objective: The purpose of this descriptive study is to determine the knowledge, attitudes and behaviors of dentists to practice defensive medicine. Material and Methods: The study was conducted on 229 physicians working in various private and public sectors using face-to-face surveys in Konya between August-September 2016. To measure the attitudes and behaviors of dentists towards defensive medicine applications, 'Dentist Defensive Medicine Applications Inventory' was used. There are 18 questions in the inventory. The answers to the questions are listed as 'yes-noundecided.' Descriptive statistics and chi-square tests were applied on the collected data. Results:. Of the dentists, 140 (61.1%) had never heard of the concept of defensive medicine, and 203 (88.6%) did not know enough about the concept of defensive medical applications. 217 (94.8%) had malpractice 161 (70.3%) believe that malpractice cases will affect the way they practice medicine, and 195 (85.2%) believe that there is an increase in the number of malpractice cases. Respondents engaged in defensive medicine practices by ordering additional imaging studies (%57.2%), laboratory tests (47.2%), referring patients to consultants (56.8%) and to minimize malpractice risk, some dentist have avoided high-risk patinets (43.7%). The rate of defensive medicine is higher in the institutions affiliated to the Ministry of Health. Conclusion: This study shows that the positive and negative defensive dentistry are being used commonly among the dentists. The findings are consistent with the literature.

Keywords: Defensive medicine; positive defensive medicine; negative defensive medicine; dentistry
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