Defensive medicine in Czech surgical departments

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F62156489%3A43110%2F25%3A43927064" target="_blank" >RIV/62156489:43110/25:43927064 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14220/25:00141257

Výsledek na webu

<a href="https://doi.org/10.1007/s10353-025-00873-2" target="_blank" >https://doi.org/10.1007/s10353-025-00873-2</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s10353-025-00873-2" target="_blank" >10.1007/s10353-025-00873-2</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Defensive medicine in Czech surgical departments

Popis výsledku v původním jazyce

Background: Defensive medicine is a growing concern in modern healthcare, driven by physicians&apos; fear of litigation. It involves unnecessary tests and procedures and avoidance of high-risk treatments. These practices increase healthcare costs, limit patient access to necessary care, and negatively impact the physician-patient relationship. Additionally, defensive medicine contributes to physician stress and dissatisfaction, thereby potentially reducing the attractiveness of the medical profession. Methods: This survey explores the prevalence of defensive medicine in Czech surgical departments through a survey conducted among 31 surgeons in two county hospitals. Results: The results confirm that all respondents engage in some form of defensive medical practice. Notably, 17% of radiological examinations were performed for assurance rather than medical necessity. A hypothetical case study demonstrated that knowledge of a patient&apos;s history of litigation significantly increased the likelihood of additional defensively motivated tests. Conclusion: Defensive medicine is a complex issue that requires cooperation between healthcare providers, legal professionals, policymakers, and medical organizations. We discuss different approaches to addressing defensive medicine. This includes the implementation of evidence-based clinical guidelines, improvements in physician-patient communication, and reforms in legal and regulatory frameworks. The main novel aspect of this article is that it brings attention to a widely overlooked issue in surgical literature and also proposes potential solutions.

Název v anglickém jazyce

Defensive medicine in Czech surgical departments

Popis výsledku anglicky

Background: Defensive medicine is a growing concern in modern healthcare, driven by physicians&apos; fear of litigation. It involves unnecessary tests and procedures and avoidance of high-risk treatments. These practices increase healthcare costs, limit patient access to necessary care, and negatively impact the physician-patient relationship. Additionally, defensive medicine contributes to physician stress and dissatisfaction, thereby potentially reducing the attractiveness of the medical profession. Methods: This survey explores the prevalence of defensive medicine in Czech surgical departments through a survey conducted among 31 surgeons in two county hospitals. Results: The results confirm that all respondents engage in some form of defensive medical practice. Notably, 17% of radiological examinations were performed for assurance rather than medical necessity. A hypothetical case study demonstrated that knowledge of a patient&apos;s history of litigation significantly increased the likelihood of additional defensively motivated tests. Conclusion: Defensive medicine is a complex issue that requires cooperation between healthcare providers, legal professionals, policymakers, and medical organizations. We discuss different approaches to addressing defensive medicine. This includes the implementation of evidence-based clinical guidelines, improvements in physician-patient communication, and reforms in legal and regulatory frameworks. The main novel aspect of this article is that it brings attention to a widely overlooked issue in surgical literature and also proposes potential solutions.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30502 - Other medical science

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

European Surgery

ISSN

1682-8631

e-ISSN

1682-4016

Svazek periodika

57

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

AT - Rakouská republika

Počet stran výsledku

5

Strana od-do

158-162

Kód UT WoS článku

001477686900001

EID výsledku v databázi Scopus

2-s2.0-105003749374