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首页> 外文期刊>Journal of health services research & policy >Prevalence and costs of defensive medicine: a national survey of Italian physicians
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Prevalence and costs of defensive medicine: a national survey of Italian physicians

机译：防御药物的患病率和成本：意大利医师国家调查

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Objective To identify the prevalence of the practice of defensive medicine among Italian hospital physicians, its costs and the reasons for practising defensive medicine and possible solutions to reduce the practice of defensive medicine. Methods Cross-sectional web survey. Main outcome measures Number of physicians reporting having engaged in any defensive medicine behaviour in the previous year. Results A total of 1313 physicians completed the survey. Ninety-five per cent believed that defensive medicine would increase in the near future. The practice of defensive medicine accounted for approximately 10% of total annual Italian national health expenditure. Conclusions Defensive medicine is a significant factor in health care costs without adding any benefit to patients. The economic burden of defensive medicine on health care systems should provide a substantial stimulus for a prompt review of this situation in a time of economic crisis. Malpractice reform, together with a systematic use of evidence-based clinical guidelines, is likely to be the most effective way to reduce defensive medicine. ]]>
机译：目的识别意大利医院医生防守医学实践的普遍性，其成本及实践防御药物的原因及降低防御药实践的策划。方法横截面网调查。主要观察措施衡量前一年从事任何防御药行为的医生数量。结果共有1313名医生完成了调查。百分之九十五人认为，防御药将在不久的将来增加。防御药的做法占意大利全国卫生支出总量的约10％。结论防御药是医疗保健成本的重要因素，而不为患者增加任何益处。防御医学对医疗保健系统的经济负担，应在经济危机时期对这种情况的及时审查这种情况提供大量刺激。弊端改革，以及系统使用基于证据的临床指南，可能是减少防御药物最有效的方法。 ]]>

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