ArticleActa neurochirurgica2020
Spine neurosurgeons facing the judicialization of their profession: disenchantment and alteration of daily practice-a qualitative study.
Article in Acta neurochirurgica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 24 citations in OpenAlex.
- Thyroid Obstacle During Anterior Cervical Discectomy and Fusion: When to Call Your ENT Surgeon Fellow? A Scoping Review of Individual Patient Data.Asian journal of neurosurgery · 2026Review
- Observational
- Ultrasound-guided needle aspiration of immediate postoperative symptomatic spinal epidural hematoma after lumbar stenosis surgical decompression in the elderly: a proof-of-concept case.Neurosurgical review · 2024Article
- Spine-Related Malpractice Claims in China: A 2-year National Analysis.Global spine journal · 2023Article
- Becoming a neurosurgeon in France: A qualitative study from the trainees' perspective.Brain & spine · 2023Article
- Surgeons' Perspective of Decision Making in Recurrent Diverticulitis: A Qualitative Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
- The Personal and Professional Impact of Patients' Complaints on Doctors-A Qualitative Approach.International journal of environmental research and public health · 2022Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe judicialization of medicine can lead to professional disenchantment and defensive attitudes among surgeons. Some quantitative studies have investigated this topic in spine surgery, but none has provided direct thematic feedback from physicians. This qualitative study aimed to identify the impact of this phenomenon in the practice of spine neurosurgeons.
methodsWe proposed a qualitative study using grounded theory approach. Twenty-three purposively selected private neurosurgeons participated. Inclusion took place until data saturation was reached. Data were collected through individual interviews and analyzed thematically and independently by three researchers (an anthropologist, a psychiatrist, and a neurosurgeon).
resultsData analysis identified five superordinate themes that were based on items that recurred in interviews: (1) private practice of spinal surgery (high-risk surgery based on frequent functional symptoms, in an unfavorable medicolegal context); (2) societal transformation of the doctor-patient relationship (new societal demands, impact of the internet and social network); (3) judicialization of spine surgery (surgeons' feelings about the frequency and motivation of the complaints they receive, and their own management of them); (4) coping strategies (identification and solutions for "at risk" situations and patients); and (5) professional disenchantment (impact of these events on surgeons' daily practice and career planning). Selected quotes of interviews were reported to support these findings.
conclusionsOur study highlights several elements that can alter the quality of care in a context of societal change and the judicialization of medicine. The alteration of the doctor-patient relationship and the permanent pressure of a possible complaint encourage surgeons to adopt defensive attitudes in order to minimize the risks of litigation and increased insurance premiums. These phenomena can affect the quality of care and the privacy of physicians to the extent that they may consider changing or interrupting their careers earlier.
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