Dorthe Fuglenes1, Pål Oian, Ivar Sønbø Kristiansen. 1. Institute of Health Management and Health Economics, Faculty of Medicine, University of Oslo, Oslo, Norway. dorthe.fuglenes@medisin.uio.no
Abstract
OBJECTIVE: The aim of this study was to test the hypothesis that obstetricians' choice of delivery method is influenced by their risk attitude and perceived risk of complaints and malpractice litigation. STUDY DESIGN: The choice of delivery method in ambiguous cases was studied in a nationwide survey of Norwegian obstetricians (n = 716; response rate, 71%) using clinical scenarios. The risk attitude was measured by 6 items from the Jackson Personality Inventory-Revised. RESULTS: The proportion of obstetricians consenting to the cesarean request varied both within and across the scenarios. The perceived risk of complaints and malpractice litigation was a clear determinant of obstetricians' choice of cesarean in all of the clinical scenarios, whereas no impact was observed for risk attitude. CONCLUSION: Obstetricians' judgments about cesarean request in ambiguous clinical cases vary considerably. Perceived risk of complaints and litigation is associated with compliance with the requested cesarean.
OBJECTIVE: The aim of this study was to test the hypothesis that obstetricians' choice of delivery method is influenced by their risk attitude and perceived risk of complaints and malpractice litigation. STUDY DESIGN: The choice of delivery method in ambiguous cases was studied in a nationwide survey of Norwegian obstetricians (n = 716; response rate, 71%) using clinical scenarios. The risk attitude was measured by 6 items from the Jackson Personality Inventory-Revised. RESULTS: The proportion of obstetricians consenting to the cesarean request varied both within and across the scenarios. The perceived risk of complaints and malpractice litigation was a clear determinant of obstetricians' choice of cesarean in all of the clinical scenarios, whereas no impact was observed for risk attitude. CONCLUSION: Obstetricians' judgments about cesarean request in ambiguous clinical cases vary considerably. Perceived risk of complaints and litigation is associated with compliance with the requested cesarean.
Authors: Maria Regina Torloni; Silvia Daher; Ana Pilar Betrán; Mariana Widmer; Pilar Montilla; Joao Paulo Souza; Mario Merialdi Journal: BMJ Date: 2011-01-25
Authors: Gianpaolo Maso; Salvatore Alberico; Lorenzo Monasta; Luca Ronfani; Marcella Montico; Caterina Businelli; Valentina Soini; Monica Piccoli; Carmine Gigli; Daniele Domini; Claudio Fiscella; Sara Casarsa; Carlo Zompicchiatti; Michela De Agostinis; Attilio D'Atri; Raffaela Mugittu; Santo La Valle; Cristina Di Leonardo; Valter Adamo; Silvia Smiroldo; Giovanni Del Frate; Monica Olivuzzi; Silvio Giove; Maria Parente; Daniele Bassini; Simona Melazzini; Secondo Guaschino; Francesco De Seta; Sergio Demarini; Laura Travan; Diego Marchesoni; Alberto Rossi; Giorgio Simon; Sandro Zicari; Giorgio Tamburlini Journal: PLoS One Date: 2013-06-05 Impact factor: 3.240