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Titolo:
Defensive medicine during hospital obstetrical care: a byproduct of the technological age
Autore:
Bassett, KL; Iyer, N; Kazanjian, A;
Indirizzi:
Univ British Columbia, Ctr Hlth Serv & Policy Res, BC Off Hlth Technol Assessment, Vancouver, BC V6T 1Z3, Canada Univ British Columbia Vancouver BC Canada V6T 1Z3 ver, BC V6T 1Z3, Canada Univ British Columbia, Fac Law, Vancouver, BC V6T 1Z3, Canada Univ BritishColumbia Vancouver BC Canada V6T 1Z3 ver, BC V6T 1Z3, Canada Univ British Columbia, Fac Med, Dept Hlth Care & Epidemiol, Vancouver, BC V6T 1Z3, Canada Univ British Columbia Vancouver BC Canada V6T 1Z3 ver, BC V6T 1Z3, Canada
Titolo Testata:
SOCIAL SCIENCE & MEDICINE
fascicolo: 4, volume: 51, anno: 2000,
pagine: 523 - 537
SICI:
0277-9536(200008)51:4<523:DMDHOC>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
SUPPLIER-INDUCED DEMAND; CESAREAN BIRTH-RATE; NEW-YORK-STATE; PHYSICIAN CHARACTERISTICS; MALPRACTICE; SECTION; POLITICS; OUTCOMES; HEART;
Keywords:
defensive medicine; anthropology; obstetrics; litigation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
67
Recensione:
Indirizzi per estratti:
Indirizzo: Bassett, KL Univ British Columbia, Ctr Hlth Serv & Policy Res, BC Off HlthTechnol Assessment, 429-2194 Hlth Sci Mall, Vancouver, BC V6T 1Z3, Canada Univ British Columbia 429-2194 Hlth Sci Mall Vancouver BC Canada V6T 1Z3
Citazione:
K.L. Bassett et al., "Defensive medicine during hospital obstetrical care: a byproduct of the technological age", SOCIAL SC M, 51(4), 2000, pp. 523-537

Abstract

This payer presents an alternative perspective on defensive medicine. Defensive medicine is usually understood as arising from the effect of law on medicine through fear of litigation. Of equal significance, however, is the complementary influence of medicine on law through technological innovation, and, more importantly, the way that medicine and law develop dialectically. Each shapes the other in establishing the standards of care central to both clinical medicine and to actual or potential legal action, Excessive testing owing to fear of litigation indicates that defensive medicine is being practised in a particular setting, but it does not explain why this is so. To understand why defensive medicine occurs and why it is so troubling toclinicians requires an understanding, not only of medical and legal developments, but of a political-economic system and the beliefs and values of a society. Defensive medicine is discussed in relation to hospital obstetrical scenarios commonly associated with fear of litigation: fetal oxygen deprivation ("distress"), which is detected using an electronic fetal monitor, and prolonged labor, known as "dystocia", The material presented is taken from a medical anthropological study of obstetrical care in rural British Columbia, Canada. Litigation fears are shown to result less from rare, albeit often devastating, allegations of malpractice than from doctors adopting a role as "fetal champions", together with the introduction of electronic monitoring technology. The paper concludes by asserting that, rather than being in an adversarial relationship, medical practice and associated litigation primarily work together to reinforce each other, and the social conditions in which defensive medicine occurs. (C) 2000 Elsevier Science Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/07/20 alle ore 08:13:25