ArticleBMJ open2018
The attitudes towards defensive medicine among physicians of obstetrics and gynaecology in China: a questionnaire survey in a national congress.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- How defensive medicine is defined in European medical literature: a systematic review.BMJ open · 2022Pooled it
- Defensive Medicine Attitudes and Associated Factors Among Physicians Working in Obstetrics and Gynecology Clinics in Istanbul, Türkiye: Cross-Sectional Analytical Study.JMIR formative research · 2026Article
- Antimicrobial stewardship in neonatal intensive care units in resource-limited regions of China: a protocol for a multicenter, before-and-after, interrupted time series quality improvement study.Frontiers in public health · 2026Article
- The current state of defensive medicine and its association with empathy: a cross-sectional study among graduate students in Guangxi, China.BMC medical education · 2025Article
- Prevalence of defensive medicine behaviors, associated risk factors and its mitigation strategies among physicians in Gaza Strip, palestine: a mixed method study.BMC medical ethics · 2025Article
- Defensive medicine in surgical disciplines: attitudes and practices among faculty and residents at Iran University of Medical Sciences.Journal of medical ethics and history of medicine · 2025Article
- The Chinese version of Defensive Medicine Scale (DMS): reliability and validity test among physicians.BMC psychology · 2024Article
- Collaborative Communication: A Qualitative Study of Roles and Emphases of Health Care Providers in Obstetrics and Gynecology.Journal of multidisciplinary healthcare · 2024Article
- Defensive medicine practices as a result of malpractice claims and workplace physical violence: a cross-sectional study from Egypt.Scientific reports · 2023Article
- Practice of defensive medicine among surgeons in Ethiopia: cross-sectional study.BMC medical ethics · 2023Article
- A review of medico-legal cases and patient complaints in relation to gynecology care.AJOG global reports · 2023Article
- The occurrence, types, reasons, and mitigation strategies of defensive medicine among physicians: a scoping review.BMC health services research · 2022Article
- The association between fear of malpractice and burnout among Chinese medical workers: The mediating role of legal consciousness.BMC psychiatry · 2022Article
- Developing an innovative medical ethics and law curriculum-constructing a situation-based, interdisciplinary, court-based learning course: a mixed methods study.BMC medical education · 2022Article
- The ethics of practicing defensive medicine in Jordan: a diagnostic study.BMC medical ethics · 2021Review
- Effect of malpractice claims on orthopedic and traumatology physicians in Turkey: A survey study.Acta orthopaedica et traumatologica turcica · 2021Article
- Physician-patient communication in decision-making about Caesarean sections in eight district hospitals in Bangladesh: a mixed-method study.Reproductive health · 2021Article
- Attitudes and compliance with the WHO surgical safety checklist: a survey among surgeons and operating room staff in 138 hospitals in China.Patient safety in surgery · 2021Article
- Defensive medicine: It is time to finally slow down an epidemic.World journal of clinical cases · 2018Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe study aimed to determine prevalence, patterns and risk factors of defensive medicine by obstetricians and gynaecologists across China.
designThis is a questionnaire survey by written and on-line interview for participants.
participantsAmong 1804 registered physicians participating at the 2017 Congress of Chinese Obstetricians and Gynecologists Association in Chengdu City, Sichuan Province, China, from 17 to 20 August 2017, 1486 participants (82.4%) responded the survey.
main outcome measuresParticipants' strongly disagreed/disagreed and strongly agreed/agreed options were compared to determine specific factors contributing to their preferences towards defensive medicine.
resultsIn the whole cohort of 1486 participants, 903/1486 (60.8%), 283/1486 (19.0%) and 170/283 (60.1%) participants had experienced at least one medical dispute, lawsuit or loss of a lawsuit, respectively; and 1284 (86.4%) participants had witnessed their colleagues exposed to medical disputes, lawsuits or loss of a lawsuit. Generally, 62.9% of the participants strongly agreed or agreed with defensive medicine. Gender, administration duty, employment hospital, education status, subspecialty, exposure to any medical disputes, lawsuits or loss of a lawsuit, and colleagues' experiences were independent risk factors relevant to participants' preferences about defensive medicine in a multivariate model. Participants were more prone to accept or endorse defensive medicine if they were female physicians; without administrative duties; working in non-tertiary hospitals; with an undergraduate degree; with any exposure to medical disputes, lawsuits or loss of a lawsuit; or having witnessed colleagues' similar experiences.
conclusionsAbout two-thirds of Chinese physicians practising obstetrics and gynaecology in our survey agreed with the practice of defensive medicine, but they had diverse preferences and understanding of specific practices, harms of defensive medicine and physician's roles.
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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.