醫療糾紛與醫師特性分析

Physicians' Characteristics and Medicolegal Issues

吳俊穎(Chun-Ying Wu) ； 賴惠蓁(Huei-Jen Lai) ； 陳榮基(Rong-Chi Chen)

《台灣醫學》 13卷2期 (2009/03) Pp. 115-121

https://doi.org/10.6320/FJM.2009.13(2).01

摘要

The present study was a nationwide survey to investigate whether physicians’ characteristics correlated with occurrence and resolution of medical malpractice. We found higher prevalence of malpractice experience was associated with male physicians (male vs. female: 37.2% vs. 26.1%, P=0.049), physicians with specialty credentials (with vs. without credentials: 39.2% vs. 17.2%, P=0.0001), and physicians practice in hospital. On univariable analysis, male physicians, physician between 35-54 years of age, and physicians of high risk specialties had significantly higher risk of malpractice experience. On multivariable analysis, only age and specialty were correlated with risk of malpractice experience. We also found physicians who practiced in southern district had less chance to encounter legal actions (P=0.006), shorter duration to solve in the cases not entering litigation (P=0.016), or even the cases brought to the courts (P=0.007). Physicians between 35-54 years of age paid significantly higher compensation (P=0.043). Physicians in high risk specialties (Ob/Gyn, Anesthesiologists and surgeons) had significantly higher chance to encounter a lawsuit (OR=1.97, P=0.033).

關鍵字

醫療糾紛 ； 實證研究 ； 醫師特性 ； 分析

並列摘要

The present study was a nationwide survey to investigate whether physicians’ characteristics correlated with occurrence and resolution of medical malpractice. We found higher prevalence of malpractice experience was associated with male physicians (male vs. female: 37.2% vs. 26.1%, P=0.049), physicians with specialty credentials (with vs. without credentials: 39.2% vs. 17.2%, P=0.0001), and physicians practice in hospital. On univariable analysis, male physicians, physician between 35-54 years of age, and physicians of high risk specialties had significantly higher risk of malpractice experience. On multivariable analysis, only age and specialty were correlated with risk of malpractice experience. We also found physicians who practiced in southern district had less chance to encounter legal actions (P=0.006), shorter duration to solve in the cases not entering litigation (P=0.016), or even the cases brought to the courts (P=0.007). Physicians between 35-54 years of age paid significantly higher compensation (P=0.043). Physicians in high risk specialties (Ob/Gyn, Anesthesiologists and surgeons) had significantly higher chance to encounter a lawsuit (OR=1.97, P=0.033).

並列關鍵字

medical malpractice ； empirical study ； physician ； analysis