Obstetricians' choice of cesarean delivery in ambiguous cases: is it influenced by risk attitude or fear of complaints and litigation? - 12/08/11
, Pål Øian, MD, PhD b, Ivar Sønbø Kristiansen, MD, PhD a, c
Reprints: Dorthe Fuglenes, MD, Institute of Health Management and Health Economics, Faculty of Medicine, University of Oslo, PO Box 1089, Blindern, NO-0317 Oslo, NorwayRésumé |
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.
Le texte complet de cet article est disponible en PDF.Key words : cesarean section, fear of litigation, maternal request, risk attitude
Plan
| Cite this article as: Fuglenes D, Øian P, Kristiansen IS. Obstetricians' choice of cesarean delivery in ambiguous cases: is it influenced by risk attitude or fear of complaints and litigation? Am J Obstet Gynecol 2009;200:48.e1-48.e8. |
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| This study was financed by the University of Oslo. |
Vol 200 - N° 1
P. 48.e1-48.e8 - janvier 2009 Retour au numéro
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