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Mr. Rossi has a pancreatic cancer: the surgeon may decide to make her offering him a life expectancy of a year and a half, or treat him with chemotherapy guaranteeing survival of six months. In the first case, the risk of mortality is high, so the doctor chooses the second solution. Why is concerned, in If the operation goes wrong, ending up in the courts.
Nothing to do with poor health care, mind you, but this practice, known as strictly "defensive medicine", is increasing. To complaints and Mauro Longoni, coordinator dell'Acoi Lombard, the association of hospital surgeons and hospital chief surgeon of Sesto San Giovanni: "The doctor, fearing to go to litigation, for example, or decide not to operate Patients at risk for, or prescribes a number of tests, examinations and diagnostic tests are not indispensable. " In essence, the first case of an excess of caution, in the second of an excess of zeal. But the end is always the same: to protect themselves.
But from what? "From the doctor-patient cases that are significantly increasing." A bit 'of numbers: the Court of patients in Milan, in 2008, came 381 reports of medical errors. The so-called "malpractice" is "increase in general - said Liberata Dell'Arciprete, regional secretary of the Court -. Half the complaints we receive about your error. And Lombardy is the leader of this phenomenon: "In 2007, about twenty thousand records, 25 per cent came from our region. This is not because our health care system is not working, indeed, but because it has a catchment area that goes well beyond regional borders. " In detail, complaints about the order, errors during surgery, misdiagnosis, incorrect treatment, problems during the rehabilitation phase. Everything happens especially during hospitalization, and emergency department, ambulatory and finally home. The areas most affected are orthopedics, oncology, gynecology and obstetrics, general surgery. It must be said, however, that not all reports are unfounded, "Patients often transfer complications, physiological phenomenon, with episodes of poor health care. There is much confusion, fueled by cases that end up in the newspapers, "explains Longoni. And sometimes, there is bad faith: "The health sector is one in which we obtain compensation more easily. " So doctors to defend themselves, we should lead with their feet: "It 'an act of instinctive self-protection."
A study last November, doctors performed a thousand of the Italian Society of Surgery, show that 77.9 percent of respondents to the questionnaire admitted that they have taken at least one behavior of defensive medicine in the last month of work . , 82, 8 per cent posted in avoidable medical records excess of scruple, for 61.3 per cent would have required a greater number of tests than necessary, while 26.2 percent would have excluded patients at risk for some treatments , beyond the normal caution. And the motivation is always the same: 80, 4 percent of them said to have done so for fear of medico-legal litigation. "The only way to defeat the phenomenon - Longoni says - it is not relentlessly attacking patients who complain, but go to the root of the problem reinforcing the relationship of trust between the patient and his doctor through, for example, the instrument of consent information ".