Abstract:
BACKGROUND:In medical malpractice litigations in recent years in Japan, it is notable that the growing number of medical litigation cases includes the issue of a doctor's explanation to the patient as a pivotal point. The objective of this study was to identify factors of physicians' communication skills with patients, as related to their legal liability, and differences in doctors' communication skills with patients by the type of medical facility. METHODS:Decisions of medical malpractice litigation cases between 1988 and 2005 in Japan, the pivotal issue of which was a physician's explanation, were analyzed in the study. The content of each decision was summarized using the study variables (information about the patient, doctor, manner of the doctor's explanation, and subsequent litigation), and a database comprising the content of each decision (N = 100) was constructed. In order to evaluate an association between doctors' communication skills with patients and the outcome of the litigation, the analysis was performed based on the outcome of litigation or the type of medical facility. RESULTS:The ratio of acknowledged physician liability by court decision was lower in cases in which the doctor's explanation occurred before treatment or surgery (p = 0.013). The ratio of acknowledged physician liability by court decision was higher in cases of elective or non-urgent treatment (p = 0.046). The ratio of acknowledged physician liability by court decision was higher in clinics than in hospital groups (p = 0.036). CONCLUSION:These findings are beneficial for the prevention of medical disputes and improvement of patient-physician communication.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Hamasaki T,Takehara T,Hagihara Adoi
10.1186/1471-2296-9-43subject
Has Abstractpub_date
2008-07-25 00:00:00pages
43issn
1471-2296pii
1471-2296-9-43journal_volume
9pub_type
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-014-0182-9
更新日期:2014-11-30 00:00:00
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journal_title:BMC family practice
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更新日期:2013-07-16 00:00:00
abstract:BACKGROUND:Irritable Bowel Syndrome (IBS) is a chronic, relapsing gastrointestinal disorder, that affects approximately 10% of the general population and the majority are diagnosed in primary care. IBS has been reported to be associated with altered psychological and cognitive functioning such as mood disturbances, som...
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doi:10.1186/s12875-015-0225-x
更新日期:2015-01-28 00:00:00
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journal_title:BMC family practice
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doi:10.1186/s12875-020-01331-6
更新日期:2020-12-05 00:00:00
abstract:BACKGROUND:Female urinary incontinence is underdiagnosed and undertreated in primary care. There is little evidence on factors that determine whether women with urinary incontinence are referred to specialist services. This study aimed to investigate characteristics associated with referrals from primary to specialist ...
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更新日期:2020-10-16 00:00:00
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更新日期:2018-05-14 00:00:00
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更新日期:2008-11-06 00:00:00
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更新日期:2012-07-02 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-018-0820-8
更新日期:2018-07-21 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2010-05-11 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-018-0805-7
更新日期:2018-08-29 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2296-14-6
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doi:10.1186/s12875-017-0693-2
更新日期:2018-01-12 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12875-020-01273-z
更新日期:2020-09-24 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-6-37
更新日期:2005-09-09 00:00:00
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pub_type: 杂志文章
doi:10.1186/1471-2296-13-57
更新日期:2012-06-14 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:10.1186/s12875-019-0924-9
更新日期:2019-03-02 00:00:00
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pub_type: 杂志文章
doi:10.1186/1471-2296-5-6
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
doi:10.1186/1471-2296-10-13
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pub_type: 杂志文章,多中心研究
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更新日期:2007-02-26 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2296-9-22
更新日期:2008-04-20 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-8-43
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-14-145
更新日期:2013-10-01 00:00:00
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journal_title:BMC family practice
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pub_type: 杂志文章
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