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Defensive medicine in Danish general practice. Types of defensive actions and reasons for practicing defensively.

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Title: Defensive medicine in Danish general practice. Types of defensive actions and reasons for practicing defensively.
Authors: Andersen, Merethe K. (AUTHOR), Hvidt, Elisabeth Assing (AUTHOR), Pedersen, Kjeld M. (AUTHOR), Lykkegaard, Jesper (AUTHOR), Waldorff, Frans B. (AUTHOR), Munck, Anders P. (AUTHOR), Pedersen, Line B. (AUTHOR)
Source: Scandinavian Journal of Primary Health Care. Dec 2021, Vol. 39 Issue 4, p413-418. 6p.
Subjects: General practitioners, Family medicine, Point-of-care testing, Physicians' attitudes, Surveys, Mathematical variables, Psychosocial factors, Malpractice, Descriptive statistics, Longitudinal method
Geographic Terms: Denmark
Abstract: To examine the occurrence of and types of defensive medicine (DM), and the reasons for practicing DM in general practice. Prospective survey registration of consecutive consultations regarding defensive medicine defined as: Actions that are not professionally well founded but are carried out due to demands and pressure. The GPs registered the degree of defensiveness, the type(s) of defensive action(s) and the reason(s) for acting defensively. Danish general practice. A total of 26 GPs registered a total of 1,758 consultations. Defensive medical actions. Defensive actions were performed in 12% (210/1749) of all consultations. A fifth (46/210) of the defensive actions were characterised by the GPs as 'moderately' or 'highly' defensive. Frequent types of defensive actions were: blood tests, point-of-care-tests (POCTs) and referrals. Common reasons for defensive actions were: Influence from patients, 37% (78/210), concerns of overlooking severe disease, 32% (67/210) and influence from patient relatives, 12% (25/210). Danish GPs registered self-perceived defensive actions in a prospective survey. DM was carried out in one out of eight consultations, most often due to patient influence. The most frequent defensive actions were blood tests, POCTs and referrals. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Defensive medicine in Danish general practice. Types of defensive actions and reasons for practicing defensively.
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  Data: <searchLink fieldCode="AR" term="%22Andersen%2C+Merethe+K%2E%22">Andersen, Merethe K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hvidt%2C+Elisabeth+Assing%22">Hvidt, Elisabeth Assing</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pedersen%2C+Kjeld+M%2E%22">Pedersen, Kjeld M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lykkegaard%2C+Jesper%22">Lykkegaard, Jesper</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Waldorff%2C+Frans+B%2E%22">Waldorff, Frans B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Munck%2C+Anders+P%2E%22">Munck, Anders P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pedersen%2C+Line+B%2E%22">Pedersen, Line B.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Primary+Health+Care%22">Scandinavian Journal of Primary Health Care</searchLink>. Dec 2021, Vol. 39 Issue 4, p413-418. 6p.
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  Data: To examine the occurrence of and types of defensive medicine (DM), and the reasons for practicing DM in general practice. Prospective survey registration of consecutive consultations regarding defensive medicine defined as: Actions that are not professionally well founded but are carried out due to demands and pressure. The GPs registered the degree of defensiveness, the type(s) of defensive action(s) and the reason(s) for acting defensively. Danish general practice. A total of 26 GPs registered a total of 1,758 consultations. Defensive medical actions. Defensive actions were performed in 12% (210/1749) of all consultations. A fifth (46/210) of the defensive actions were characterised by the GPs as 'moderately' or 'highly' defensive. Frequent types of defensive actions were: blood tests, point-of-care-tests (POCTs) and referrals. Common reasons for defensive actions were: Influence from patients, 37% (78/210), concerns of overlooking severe disease, 32% (67/210) and influence from patient relatives, 12% (25/210). Danish GPs registered self-perceived defensive actions in a prospective survey. DM was carried out in one out of eight consultations, most often due to patient influence. The most frequent defensive actions were blood tests, POCTs and referrals. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/02813432.2021.1970945
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      – Code: eng
        Text: English
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        PageCount: 6
        StartPage: 413
    Subjects:
      – SubjectFull: General practitioners
        Type: general
      – SubjectFull: Family medicine
        Type: general
      – SubjectFull: Point-of-care testing
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      – SubjectFull: Physicians' attitudes
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      – SubjectFull: Surveys
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      – SubjectFull: Mathematical variables
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      – SubjectFull: Psychosocial factors
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      – SubjectFull: Malpractice
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      – SubjectFull: Longitudinal method
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      – SubjectFull: Denmark
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              M: 12
              Text: Dec 2021
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              Y: 2021
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