Investigations of complaints and quality of health care.
J Law Med
; 12(3): 366-72, 2005 Feb.
Article
em En
| MEDLINE
| ID: mdl-15754558
ABSTRACT
Malpractice law is frequently justified by the claim that it improves health care services but this belief remains untested. Using a multiple case study in 16 remote rural areas in New Zealand, this study examined the effects of formal quasi-judicial investigations on the quality of health care services. The study found that the fragile local health systems were damaged by the quasi-judicial investigations of the medical disciplinary body and became less efficient and less user-friendly. A few doctors left rural practice and were difficult to replace. The remaining health workers responded to the investigations in a negative manner, losing confidence, enthusiasm and motivation for work; they performed in a less efficient manner, working more slowly, setting up barriers to access, ordering more tests and referring more to secondary care. Complainants also appeared to have been disadvantaged as a consequence of having complained.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade da Assistência à Saúde
/
Comportamento do Consumidor
/
Imperícia
Limite:
Humans
País/Região como assunto:
Oceania
Idioma:
En
Revista:
J Law Med
Assunto da revista:
JURISPRUDENCIA
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Nova Zelândia