Medical malpractice in Norway: frequency and distribution of disciplinary actions for medical doctors 2011–2018

Harbitz, Martin Bruusgaard; Stensland, Per; Abelsen, Birgit

doi:10.1186/s12913-021-06334-2

Cited by 7 publications

(12 citation statements)

References 26 publications

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“…Recently, a Norwegian study of the frequency and distribution of disciplinary actions for medical doctors found higher rates for physicians who work in small clinics or alone (GPs and private specialists) than for those working in large organizations (hospital doctors) [ 33 ]. This emphasizes the impact of systemic and structural factors.…”

Section: Discussionmentioning

confidence: 99%

Physician factors associated with medical errors in Norwegian primary care emergency services

Bratland

Baste

Steen

et al. 2021

Scandinavian Journal of Primary Health Care

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Objective: The aim of this study was to examine the associations between characteristics of physicians working in primary care emergency units (PCEUs) and the outcome of assessments of the medical records. Design: Data from a previous case-control study was used to evaluate factors related to medical errors. Setting: Ten Norwegian PCEUs were included. Subjects: Physicians that had evoked a patient complaint, and a random sample of three physicians from the same PCEU and time period as the physician who had evoked a complaint. Recorded physician characteristics were: gender, seniority, citizenship at, and years after authorization as a physician, specialty in general practice, and workload at the PCEU. Main outcome measures: Assessments of the medical records: errors that may have led to harm, no medical error, or inconclusive. Results: In the complaint group 77 physicians were included, and in the random sample group 217. In the first group, 53.2% of the medical records were assessed as revealing medical errors. In the random sample group, this percentage was 3.2. In the complaint group the percentages for no-error and inconclusive for the female physicians were 30.8 and 15.4; and for the male physicians 9.8 and 27.3, p ¼ 0.027. Conclusion:In the group of complaints there was a higher percentage with no assessed medical error, and a lower percentage with inconclusive assessments of medical errors, among female physicians compared to their male colleagues. We found no other physician factors that were associated with assessed medical errors. Future research should focus on the underlying elements of these findings.

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Section: Discussionmentioning

confidence: 99%

Physician factors associated with medical errors in Norwegian primary care emergency services

Bratland

Baste

Steen

et al. 2021

Scandinavian Journal of Primary Health Care

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“…There are five possible disciplinary penalties; a warning is the least severe, and revocation or suspension of a license is the strongest form of punishment. The most common and serious violations by physicians include sexual misconduct, failure to comply with required standards of care, and unprofessional behavior [67].…”

Section: The Health and Socialmentioning

confidence: 99%

Ensuring Healthcare Efficiency in the Context of the Medical and Pharmaceutical Staff Regulation

et al. 2022

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This article aims to substantiate the impact of socio-economic labor protection for healthcare professionals based on developing legislative regulations in some OECD and EAEU countries and identifying their relationship with the efficiency of healthcare systems. The methodology includes general scientific methods (systemic analysis, synthesis, comparison, abstraction, induction, deduction, and modeling) and special research methods (formal logical, structural, and functional). The results of international rankings evaluating healthcare systems were used to determine the list of states for comparative legal analysis. Also, empirical methods were used: meetings, questionnaire surveys, and interviews held in 2021 with medical and pharmaceutical workers in Kazakhstan. The research results showed that states with special labor regulations for medical and pharmaceutical personnel occupy stable leading positions in international rankings regarding healthcare evaluation. On the other hand, based on the example of the EAEU countries with an insufficient level of specialization in labor regulation for these categories of workers, some states occupy weak positions in similar international ratings. This paper is novel because previously, there was no debate in the literature justifying the finding that specifics in the labor regulation of medical and pharmaceutical staff, along with other factors, influence the healthcare system's efficiency and development. Doi: 10.28991ESJ-2022-06-06-05 Full Text: PDF

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“…Young Norwegian GPs who undergo specialist training are entitled to formal supervision at regular intervals, but in daily life they manage a great number of complex patients and situations single-handedly, in contrast to peer colleagues in hospital settings. Even in a group practice, the working situation of a GP can therefore appear somewhat lonely [20][21][22][23][24][25][26][27]. Since 1994, the Institute for Studies of the Medical Profession in Norway has undertaken surveys to identify the health, quality of life and working conditions of Norwegian physicians, applying the effort-reward imbalance model.…”

Section: Introductionmentioning

confidence: 99%

The impact of clinical experience on working tasks and job-related stress: a survey among 1032 Norwegian GPs

et al. 2022

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Background General practice is a generalist discipline fraught with complexity. For inexperienced physicians, it may be demanding to get to grips with the clinical challenges. The purpose of this article is to describe possible differences in the range of tasks between inexperienced and experienced general practitioners (GPs), and the extent to which clinical experience affects the way in which GPs perceive their daily work. Methods An online questionnaire was sent to all regular GPs in Norway (N = 4784) in 2018. The study sought to document the tasks performed during a typical working day and how the GPs perceived their working situation. In this study, we compare the tasks, working situation and occurrence of potentially conflictual consultations among ‘less experienced physicians’ (≤ 5 years of experience in general practice) versus ‘more experienced physicians’ (> 5 years of experience). The findings are discussed in light of theories on development of expertise. Results We received responses from 1032 GPs; 296 (29%) were less experienced and 735 (71%) more experienced. The two groups reported virtually the same number of consultations (19.2 vs. 20.5) and clinical problems handled (40.4 vs. 44.2) during the study day. The less experienced physicians reported a higher proportion of challenging and/or conflictual consultations, involving prescriptions for potentially addictive medication (5.7% vs. 3.1%), sickness certification (4.1% vs. 2.4%) and referral for medical investigations on weak clinical indication (8.1% vs. 5.6%). For other clinical issues there were minor or no differences. Both GP groups reported high levels of work-related stress with negative effect on self-perceived health (61.6% vs 64.6%). GPs who felt that high job demands harmed their health tended to handle a slightly higher number of medical issues per consultation and more consultations with elements of conflict. Conclusions and implications Inexperienced GPs in Norway handle a workload comparable to that of experienced GPs, but they perceive more conflictual consultations. These findings have relevance for training and guidance of future GP specialists. Irrespective of experience, the GPs report such high levels of negative work-related stress as to indicate an acute need for organisational changes that imply a reduced workload.

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Medical malpractice in Norway: frequency and distribution of disciplinary actions for medical doctors 2011–2018

Cited by 7 publications

References 26 publications

Physician factors associated with medical errors in Norwegian primary care emergency services

Physician factors associated with medical errors in Norwegian primary care emergency services

Ensuring Healthcare Efficiency in the Context of the Medical and Pharmaceutical Staff Regulation

The impact of clinical experience on working tasks and job-related stress: a survey among 1032 Norwegian GPs

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