ArticleHealthcare (Basel, Switzerland)2023
Collateral Victims of Defensive Medical Practice.
Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 7 citations in OpenAlex.
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- Defensive Medical Practice in Dentistry: A Dual-Perspective Cross-Sectional Analysis of Dentists and Patients in Romania.Healthcare (Basel, Switzerland) · 2026Article
- Structural Accountability and Practice-Level Governance as Dual Pathways to Accreditation-Seeking Intention in Private Dental Practice: Evidence from a Mixed Public-Private Healthcare System.Healthcare (Basel, Switzerland) · 2026Article
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- The social justice dilemma of liability allocation in medical damage: a qualitative analysis based on case judgments.Frontiers in public health · 2026Article
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- Embracing Artificial Intelligence in Dental Practice: An Exploratory Study of Romanian Clinicians' Perspectives and Experiences.Dentistry journal · 2025Article
- A survey on opinions, perceptions and attitudes of Swedish veterinarians-the Swedish veterinary disciplinary board.Frontiers in veterinary science · 2025Article
- Mediation in Healthcare: Enhancing Conflict Resolution Between Patients and Physicians Beyond the Courtroom.Cureus · 2024Review
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This paper analyzes the phenomenon of defensive medical practice, starting from the doctor-patient relationship, and the behavioral and professional factors that can influence the proper functioning of this relationship and the healthcare system. We analyze medical malpractice, given the increase in the number of accusations, as an essential factor in triggering the defensive behavior of doctors, together with other complementary factors that emphasize the need for protection and safety of doctors. The possible consequences for the doctor-patient relationship that defensive practice can generate are presented and identified by analyzing the determining role of the type of health system (fault and no-fault). At the same time, we investigate the context in which overspecialization of medical personnel can generate a form of defensive practice as a result of the limiting effect on the performance of a certain category of operations and procedures. The increase in the number of malpractice accusations impacts the medical community-"the stress syndrome induced by medical malpractice"-turning doctors into collateral victims who, under the pressure of diminishing their reputational safety, practice defensively to protect themselves from future accusations. This type of defensive behavior puts pressure on the entire healthcare system by continuously increasing costs and unresolved cases, which impact patients by limiting access to medical services in the public and private sectors.
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Registered trials
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.