A QUALITATIVE STUDY OF VIOLENCE AND DEFENSIVE MEDICINE PRACTICES
ŞİDDET VE DEFANSİF TIP UYGULAMALARI ÜZERİNE NİTEL BİR ÇALIŞMA

Author : Aysun YEŞİLTAŞ -- Ramazan ERDEM
Number of pages : 486-500

Abstract

In this study it is designed qualitatively to show the reasons and consequences of both violence and defensive medicine and also the possible precaution can be taken towards them. In the study the reasons for defensive medicine are revealed as being complained, malpractice cases, violence, media, low level of education of patients, miscommunication, attitudes of doctors to patients and attitudes of patients to doctors, lack of professional experience of doctors, patient density and health system. The consequences of defensive medicine were found as economic loss, the change in preference in TUS, the difficulty in finding experienced doctors, professional drawback of doctors, receiving of treatment later than it is supposed to be, not being preferred the medicine as a profession, reaching to experienced doctors costly, increase in work load of doctors, increase in risk of medical error, early retirements of doctors, decrease in the dissatisfaction in health system and blaming doctors unjustly. In the study the suggestions to prevent defensive medicine are, improvement in education and health policies, reselection of complaints, protection of health workers, improvements in work conditions of doctors, prevention of violence, effective application of law, control of media and giving the opportunity to doctors to choose the patients. In the study, the negative perspective of patients, low level of education, media, administration and health polices, patient density, not deterrent punishments are seen as the reasons of violence in health. The violence that occurred as a result of these reasons, end up with lack of motivation of doctors, tending towards defensive medicine, not receiving proper health service, waste of time, unwillingness of doctors in professions, deterioration of doctors' health, economic loss and density in particular hospitals. In addition, the most important result obtained with research is that violence is caused by defensive medicine and defensive medicine is caused by violence.

Keywords

violence, defensive medicine, physcian, health, qualitaive study

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