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Physicians’ views and experiences of defensive medicine: An international review of empirical research

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  • Ries, Nola M.
  • Jansen, Jesse

Abstract

This study systematically maps empirical research on physicians’ views and experiences of hedging-type defensive medicine, which involves providing services (eg, tests, referrals) to reduce perceived legal risks. Such practices drive over-treatment and low value healthcare. Data sources were empirical, English‐language publications in health, legal and multi-disciplinary databases. The extraction framework covered: where and when the research was conducted; what methods of data collection were used; who the study participants were; and what were the study aims, main findings in relation to hedging-type defensive practices, and proposed solutions.

Suggested Citation

  • Ries, Nola M. & Jansen, Jesse, 2021. "Physicians’ views and experiences of defensive medicine: An international review of empirical research," Health Policy, Elsevier, vol. 125(5), pages 634-642.
    • Handle: RePEc:eee:hepoli:v:125:y:2021:i:5:p:634-642
    DOI: 10.1016/j.healthpol.2021.02.005
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    References listed on IDEAS

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    1. Government of India, 2017. "National Health Policy 2017," Working Papers id:11664, eSocialSciences.
    2. Brian V Nahed & Maya A Babu & Timothy R Smith & Robert F Heary, 2012. "Malpractice Liability and Defensive Medicine: A National Survey of Neurosurgeons," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-7, June.
    3. Vandersteegen, Tom & Marneffe, Wim & Cleemput, Irina & Vandijck, Dominique & Vereeck, Lode, 2017. "The determinants of defensive medicine practices in Belgium," Health Economics, Policy and Law, Cambridge University Press, vol. 12(3), pages 363-386, July.
    4. Ihsan Solaroglu & Yusuf Izci & H Gokce Yeter & M Mert Metin & G Evren Keles, 2014. "Health Transformation Project and Defensive Medicine Practice among Neurosurgeons in Turkey," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-7, October.
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    Cited by:

    1. Lilly, Anna-Grace & Newman, Isabelle P. & Bjork-James, Sophie, 2024. "Our hands are tied: abortion bans and hesitant medicine," Social Science & Medicine, Elsevier, vol. 350(C).

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