Novosti
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This journal is indexed in Scopus |
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Year 2020 Vol. 28 No 5
GENERAL & SPECIAL SURGERY
V.E. FEDOROV, K.A. PODELYAKIN
SPECIFICITY OF THE CONFLICT "PATIENT-SURGEON"
Saratov State Medical University Named after V.I. Razumovsky, Saratov,
The Russian Federation
Objective. Analysis of the causes, nature of complaints against surgeons, studying of problems of protecting the professional activities of a physician.
Methods. According to information provided by the Territorial Authority to monitor the health service quality in Saratov Region, for the period of 2018 – 5 months of 2019, 1699 citizens’ complaints were received. 42 complaints were received regarding the quality of medical care in the medical institutions of the region in the “surgery” profile, which accounted for 9.3% of the total number of complaints.
Results. According to the information received, the most claims against surgeons was registered in Central Regional Hospitals (CRH) – 10 (23.8%) complaints. The first place in terms of the number of complaints is taken by surgical departments of hospitals – 16 (38.1%) cases, the second place – outpatient clinics of the Central Regional Hospital and polyclinics [14 (33.3%) cases], the third place – private clinics [7 (16.7 %) cases].
The essence of many complaints, first of all, consists in appealing for professional analysis of treatment case with an unfavorable outcome. In case of unsuccessful treatment, the majority of patients and their relatives most often [24 (57.1%) cases] demanded simply an examination of the treatment case and / or medical institution, and not criminal punishment. In 1 (2.4%) case, the patient simply wanted to report a problem related to the diagnosis and treatment of his disease. There was no information about any criminal punishment of the surgeons in the text of their complaints.
Conclusion. The “surgeon-patient” conflict in the form of a complaint is a structurally complex process with objective and subjective components that are influenced by a wide variety of risk factors. The growing discrepancy between the protection of a patient and a surgeon during the transfer of complaints to supervisory and legal authorities gradually increases the distortion of their analysis.
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410012, Russian Federation,
Saratov, Bolshaya Kazach’ya str., 112,
Saratov State Medical University Named
after V.I. Razumovsky of the Ministry of Health,
the Department of Surgery and Oncology
tel. mobile: +7 937 969-59-53,
e-mail: nothingexcept@gmail.com
Podelyakin Konstantin A.
Fedorov Vladimir E., MD, Professor of the Department of Surgery and Oncology, Saratov State Medical University Named after V.I. Razumovsky, Saratov, Russian Federation.
https://orcid.org/0000-0003-4980-0829
Podelyakin Konstantin A., Resident of the Department of Surgery and Oncology, Saratov State Medical University Named after V.I. Razumovsky, Saratov, Russian Federation.
https://orcid.org/0000-0002-1583-3318
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