Evidence map›Paper›PMID 23906082›Full record

ArticleScandinavian journal of primary health care2013

Characteristics of complaints resulting in disciplinary actions against Danish GPs.

Søren Birkeland, Rene Depont Christensen, Niels Damsbo, Jakob Kragstrup

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Patient and public involvement in medical performance processes: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2019
    Pooled it
  2. Pooled it
  3. Article
  4. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Malpractice litigation, workload, and general practitioner retirement.Primary health care research & development · 2019
    Article
  16. Defensive medicine in primary health care.Scandinavian journal of primary health care · 2018
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Søren BirkelandResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark. sbirkeland@health.sdu.dk
Rene Depont Christensen
Niels Damsbo
Jakob Kragstrup

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe risk of being disciplined in connection with a complaint case causes distress to most general practitioners. The present study examined the characteristics of complaint cases resulting in disciplinary action. MATERIAL AND

methodsThe Danish Patients' Complaints Board's decisions concerning general practice in 2007 were examined. Information on the motives for complaining, as well as patient and general practitioner characteristics, was extracted and the association with case outcome (disciplinary or no disciplinary action) was analysed. Variables included complaint motives, patient gender and age, urgency of illness, cancer diagnosis, healthcare settings (daytime or out-of-hours services), and general practitioner gender and professional seniority.

resultsCases where the complaint motives involved a wish for placement of responsibility (OR = 2.35, p = 0.01) or a wish for a review of the general practitioner's competence (OR = 1.95, p = 0.02) were associated with increased odds of the general practitioner being disciplined. The odds of discipline decreased when the complaint was motivated by a feeling of being devalued (OR = 0.39, p = 0.02) or a request for an explanation (OR = 0.46, p = 0.01). With regard to patient and general practitioner characteristics, higher general practitioner professional seniority was associated with increased odds of discipline (OR = 1.97 per 20 additional years of professional seniority, p = 0.01). None of the other characteristics was statistically significantly associated with discipline in the multiple logistic regression model.

conclusionComplaint motives and professional seniority were associated with decision outcomes. Further research is needed on the impact of professional seniority on performance.

Indexed as

Dissent and DisputesAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCommunicationDenmarkEmployee DisciplineFemaleGeneral PractitionersHumansInfantInfant, NewbornJurisprudence

Identifiers

PMID23906082
PMCPMC3750437

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.