Broadcasting And Investigation On Defense Medicine

Author :  

Year-Number: 2019-16
Language : null
Konu :
Number of pages: 381-389
Mendeley EndNote Alıntı Yap

Abstract

Today, the introduction of new concepts and legal regulations for the misuse of medical practices in the Turkish Criminal Code, the consequences of high compensation costs for malpractice cases, negative accusations against physicians through news and social media, increased violence in health Physicians often use defensive medicine to protect themselves. In this study, it is aimed to compare the levels of defensive medicine practice, the methods they use and the countries in our country and in the world. The scope of the study consists of 6 studies between 1995 and 2016 in the world and 6 studies between 2008 and 2017 in our country. As a method of working, it was determined as a literature search of studies to determine defensive medicine applications in Italy, USA, UK, Japan, UK, Israel and Turkey. As a result of the study, it is observed that the physicians of the positive defensive medicine who have attitudes such as more diagnostic tests and invasive procedures, detailed explanation about the disease procedures, prolongation of follow-up, unnecessary treatment, Physicians are another defensive medicine method, negative defensive medicine applications; Avoidance of risky procedures that could benefit the patient, and risky illness treatment tend to be high. When we look at the percentage of defensive medical practice in our country, it is observed that 78% is over 62% in the world. When we look at the results, it is determined that the similar qualities and application levels of defensive medical practices of our country and the doctors of the world are close to each other.

Keywords

Abstract

Today, the introduction of new concepts and legal regulations for the misuse of medical practices in the Turkish Criminal Code, the consequences of high compensation costs for malpractice cases, negative accusations against physicians through news and social media, increased violence in health Physicians often use defensive medicine to protect themselves. In this study, it is aimed to compare the levels of defensive medicine practice, the methods they use and the countries in our country and in the world. The scope of the study consists of 6 studies between 1995 and 2016 in the world and 6 studies between 2008 and 2017 in our country. As a method of working, it was determined as a literature search of studies to determine defensive medicine applications in Italy, USA, UK, Japan, UK, Israel and Turkey. As a result of the study, it is observed that the physicians of the positive defensive medicine who have attitudes such as more diagnostic tests and invasive procedures, detailed explanation about the disease procedures, prolongation of follow-up, unnecessary treatment, Physicians are another defensive medicine method, negative defensive medicine applications; Avoidance of risky procedures that could benefit the patient, and risky illness treatment tend to be high. When we look at the percentage of defensive medical practice in our country, it is observed that 78% is over 62% in the world. When we look at the results, it is determined that the similar qualities and application levels of defensive medical practices of our country and the doctors of the world are close to each other.

Keywords


  • AKTÜRK, E. (2016) ‘’Kurumsal Yönetim Çerçevesinde Uygulanan Etik Kurallara İlişkin Algı:

  • AKTÜRK, E. (2016) ‘’Kurumsal Yönetim Çerçevesinde Uygulanan Etik Kurallara İlişkin Algı: Bankacılık Sektöründe Bir Araştırma ‘’ Beykent Üniversitesi Doktora Tezi, İstanbul

  • AYDAŞ, S. (2014), Hekimlerde Malpraktis Kaynaklı Defansif Tıp Davranışları, Beykent ÜniversitesiSosyal Bilimler Enstitüsü İşletme Yönetimi Anabilim Dalı Hastane ve Sağlık Kurumları Yönetimi Bilim Dalı Yüksek Lisans Tezi, İstanbul.

  • AYNACI, Y. (2008), Hekimlerde Defansif (Çekinik) Tıp Uygulamalarının Araştırılması, Selçuk Üniversitesi Meram Tıp Fakültesi Adli Tıp Anabilim Dalı Tıpta Uzmanlık Tezi, Konya.

  • BAKKAL, M., BAKKAL, S., YILDIRIM H.(2018), Regional Economic Instabilities in Turkey and Ways Of Solution, Social Sciences Studies Journal , Mart,V:4 ,Issue:15,p.799-800

  • BAKKAL,S.,BAKKAL,M.,KANTAR M.(2018), The Effects Of 1 November 2015 Elections In TurkeyOn Macro Economy, TURAN-SAM Uluslararası Bilimsel Hakemli Dergisi; ISSN: 1308-8041, e-ISSN: 1309-4033; Yıl: 2018; Cilt: 10/KIŞ, Sayı: 37,P.229

  • BAŞER, A., M. İ. B. Kolcu, G. Kolcu, Ö. Tuncer ve M. Altuntaş, (2014), “Diş Hekimlerinin Defansif DişHekimliği Konusundaki Görüşleri: Kesitsel Bir Çalışma”, İzmir Tepecik Eğitim ve Araştırma Hastanesi Dergisi, 24(2), s. 103-109.

  • BAŞER, A., G. Kolcu, Y. Çığırgil, B. Kadınkız ve K. Öngel, (2014), “İzmir Karşıyaka İlçesinde GörevYapan Aile Hekimlerinin Defansif Tıp Uygulamaları ile İlgili Görüşlerinin Değerlendirilmesi”, Smyrna Tıp Dergisi, 3, s. 16- 24.

  • BERGEN, RP., (1974), “Defensive Medicine Is Good Medicine”, JAMA, 228(9), s. 1188- 1189.

  • ÇETİN, G. (2006), “Tıbbi Malpraktis”, Yeni Yasalar Çerçevesinde Hekimlerin Hukuki ve CezaiSorumluluğu, Tıbbi Malpraktis ve Adli Raporların Düzenlenmesi, İ.Ü. Tıp Fakültesi Sürekli Tıp Eğitim Etkinlikleri Sempozyum Dizisi, 48, s. 31-42.

  • HİYAMA, T., M. Yoshihara, S. Tanaka, Y. Urabe, Y. Ikegami, T. Fukuhara ve K. Chayama, (2006),“Defensive Medicine Practices Among Gastroenterologists In Japan”, World Journal Of Gastroenterology, 12(47), s. 7671–7675.

  • KAPTANOĞLU , R. (2016), Algılanan Değer, Müşteri Tatmini Ve Marka Bağlılığı İlişkisi, MarkaTutumları Ve Ürün İlgi Düzeylerinde Farklılığın Rolü Üzerine Bir Araştırma, Beykent Üniversitesi Doktora Tezi, İstanbul.

  • KILIÇARSLAN, M. 2016, Sağlık Hizmetlerinde Bütünleşik Model Önerisi Yalın Sağlık (İsraf), Beykent Üniversitesi Doktora Tezi İstanbul

  • METE, B., E. Nacar, Ç. Tekin, E. Ünver ve G. Güneş, (2017), “Investigating The Defensive MedicalPractices Of The Physicians Working İn The City Center Of Malatya”, Medicine Science, 6(2), s. 270-ORTASHI, O., J. Virdee, R, Hassan, T. Mutrynowski, ve F. Abu-Zidan, (2013), “The Practice OfDefensive Medicine Among Hospital Doctors In The United Kingdom”, BMC Med Ethics, s. 14- 42.

  • PROJECT. (1971), “The Medical Malpractice Threat: A Study of Defensive Medicine”, Duke Law Journal, 1971(5), s. 939-993.

  • REUVENİ, I., I. Pelov, H. Reuveni, O. Bonne ve Canetti, (2017), “Cross-Sectional Survey On Defensive Practices And Defensive Behaviours Among Israeli Psychiatrists”, BMJ Open, s.1- 7.

  • SELÇUK, M. (2015), Çekinik (Defansif) Tıp, İzmir Üniversitesi Sosyal Bilimler Enstitüsü Sağlık Hukuku Yüksek Lisans Tezi, İzmir.

  • STUDDERT, D. M., M. M. Mello, W. M. Sage, C. M. DesRoches, J. Peugh, K. Zapert ve T. A. Brennan,(2005), “Defensive Medicine Among High-Risk Specialist Physicians in a Volatile Malpractice Environment”, JAMA, 293, s. 2609- 2261.

  • SUMMERTON, N., (1995), “Positive And Negative Factors İn Defensive Medicine: A Questionnaire Study Ofgeneral Practitioners”, BMJ, 310, s. 27- 29.

  • TANCREDİ, LR. ve Barondess JA. (1978), “The Problem Of Defensive Medicine”, Science, 200(4344), s. 879-82.

  • TEKE, Y. H., H. A. Alkan, A. Z. Başbulut ve G. Cantürk, (2007),“Tıbbi Uygulama Hataları ile İlgiliKanuni Düzenlemelere Hekimlerin Bakısı ve Bilgilenme Düzeyi: Anket Çalışması”, Türkiye Klinikleri Dergisi, 4(2), s. 61- 67.

  • YILDIRIM, A., M. Aksu, İ. Çetin ve A. G. Şahan, (2009), “Tokat ili merkezinde çalışan hekimlerin tıbbi uygulama hataları ile ilgili bilgi, tutum ve davranışları”, Cumhuriyet Tıp Dergisi, 31, s. 356-366.

  • YILMAZ, K., (2012), Defansif Tıbbi Uygulamaların Hukuki Açıdan Yorumlanması, İstanbul Üniversitesi Adli Tıp Enstitüsü Sosyal Bilimler A.B.D. Yüksek Lisans Tezi, İstanbul.

  • YILMAZ. K., O. Polat ve B. Kocamaz, (2014), “Defansif Tıp Uygulamalarının Hukuksal Açıdan İncelenmesi”, TAAD, 16, s. 19- 51.

  • YORULMAZ, AC. (2005), İstanbul Tabip Odası’ na Yansıyan Hekim Hatası İddiası Bulunan OlgularınAdli Tıp Açısından Değerlendirilmesi, İstanbul Üniversitesi Adli Tıp Enstitüsü, Doktora Tezi, İstanbul.

                                                                                                                                                                                                        
  • Article Statistics