sábado, 25 de noviembre de 2017

Doctors who receive a complaint are more likely to “overtreat” – new study

Doctors who receive a complaint are more likely to “overtreat” – new study


Doctors who receive a complaint are more likely to “overtreat”
Research from Imperial College London (ICL) has shown for the first time an association between the way complaints against doctors are handled and symptoms of anxiety, depression, and defensive medical practice.
The researcher team, led by Professor Tom Bourne from ICL’s Department of Surgery and Cancer, have conducted multiple studies in the past on the effects of complaints on doctors’ mental health; yet this is the first study to associate mental illness symptoms with specific aspects of the complaints process.
While many complaints against doctors in the UK are handled by the General Medical Council, some are investigated formally or informally by hospitals and practices.
The researchers conducted a detailed online survey of 6,144 British Medical Association doctors with past or current patient complaints against them. Doctors were asked a range of questions about their mood and health, the procedure by which the complaint was reviewed, and how they felt about the handling of the complaint.
The researchers discovered several interesting correlations between the review process and the mental health of doctors.
Doctors who reported feeling supported by colleagues during the complaints process were 36 per cent less likely to experience depression, and 31 per cent less likely to experience anxiety.
Similarly, doctors who reported feeling supported by management were 13 per cent less likely to experience depression and 20 per cent less likely to experience anxiety.
The researchers also identified a correlation between how the complaints were handled and “defensive practice” among doctors. Four out of five doctors who become the subject of a complaint find the experience so stressful that they start practising more “defensive medicine”:
“This involved ‘hedging’, which includes performing more tests than necessary, over-referral and overprescribing as well as ‘avoidance’, which includes avoiding procedures, not accepting high-risk patients or abandoning procedures early,” Professor Tom Bourne said.
The authors urge authorities and managers who handle patient complaints to give better support to doctors, including allowing them to contact their colleagues during suspension. Authorities should also stick to strict deadlines by which complaint investigations have to be completed, with better training for the staff responsible for investigation.


Saturday, November 25, 2017

Good scientists have to be curious, tenacious, creative, intuitive and analytical. And it helps if they are humble, as well. At least that is my impression after reading about the Italian neurosurgeon Sergio Canavero (see below.)

Canavero is the latest figure in a long queue of talented scientists led astray just in the last couple of years by the glamour of celebrity. Dr Canavero would no doubt deny this, but the scientific community is very sceptical of his project to transplant living heads onto living bodies. And although he has not had a single success in this project, he is already dreaming of transplanting brains.

Celebrity and science can make a toxic mix. There is thoracic surgeon Paolo Macchiarini, another Italian, whose work on artificial tracheas was hyped as life-saving, but turned out to be fraudulent.

Dutch social psychologist Diederik Stapel was renowned for his controversial research. He had faked the results of his experiments and even his PhD. Michael LaCour made headlines for his surveys about changing minds about gay marriage. He never carried out the surveys.

Japanese stem cell scientist Haruko Obokata found an incredibly simple method for creating pluripotent stem cells. And in fact, it was incredible.

What makes extremely talented and creative researchers choose the path of a circus performer rather than a dedicated scholar? Everyone has a different story, but perhaps the ancient Anglo-French word vaynglorie (vainglory) expresses it best. Are there classes for post-graduate students in humility? Perhaps there ought to be.

Michael Cook
 Comment on BioedgeFind Us on FacebookFollow us on Twitter

by Michael Cook | Nov 25, 2017
A flamboyant Italian neurosurgeon claims that head transplants are around the corner

by Xavier Symons | Nov 25, 2017
A new study has found a positive association between the use of oral contraceptives and suicide attempts/suicide.

by Xavier Symons | Nov 25, 2017
New research shows an association between the handling of complaints and mental illness.

by Michael Cook | Nov 24, 2017
Nationwide there are around 100 surrogacy centres, including 40 in Moscow

by Michael Cook | Nov 24, 2017
The anonymity of telemedicine troubles some critics

by Xavier Symons | Nov 24, 2017
Pope Francis has advised doctors to avoid "overzealous treatment".

by Michael Cook | Nov 24, 2017
“Today’s all about emotion, and it’s all about compassion,” says the state's Premier

by Patrick Foong | Nov 24, 2017
There has already been one death in a clinic

Phone: +61 2 8005 8605
Mobile: 0422-691-615

No hay comentarios: