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PubMed · 10295032

Physician countersuits--a solution to the malpractice dilemma?

Abstract

Following a period of relative passiveness among physicians, during which most lived in trepidation of a malpractice action being filed against them, there emerges a new era of physician activism. This activism haqs taken the form of countersuits, based most commonly upon malicious prosecution either as a single cause of action or in conjunction with abuse of process or defamation suits. This Article will explore the derivations and positive and negative effects of malpractice suits, the possibilities of a physician being wrongfully sued, the potential ways in which the doctor can counterattack, and the effectiveness of countersuits in solving the malpractice problem.

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BibTeXRIS

J G Higgs. 1980. Physician countersuits--a solution to the malpractice dilemma?. https://pubmed.ncbi.nlm.nih.gov/10295032/

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Defensive medicine practices among gastroenterologists in Japan.

AIM: To clarify the prevalence of defensive medicine and the specific defensive medicine practices among gastroenterologists in Japan. METHODS: A survey of gastroenterologists in Hiroshima, Japan, was conducted by mail in March 2006. The number of gastroenterologists reporting defensive medicine behaviors or changes in their scope of practice and the reported defensive medicine practices, i.e., assurance and avoidance behaviors, were examined. RESULTS: A total of 131 (77%) out of 171 gastroenterologists completed the survey. Three (2%) respondents were sued, and most respondents (96%) had liability insurance. Nearly all respondents (98%) reported practicing defensive medicine. Avoidance behaviors, such as avoiding certain procedures or interventions and avoiding caring for high-risk patients, were very common (96%). Seventy-five percent of respondents reported often avoiding certain procedures or interventions. However, seasoned gastroenterologists (those in practice for more than 20 years) adopted avoidance behaviors significantly less often than those in practice for less than 10 years. Assurance behaviors, i.e., supplying additional services of marginal or no medical value, were also widespread (91%). Sixty-eight percent of respondents reported that they sometimes or often referred patients to other specialists unnecessarily. CONCLUSION: Defensive medicine may be highly prevalent among gastroenterologists throughout Japan, with potentially serious implications regarding costs, access, and both technical and interpersonal quality of care.

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