PMID: 15368863Sep 17, 2004Paper

Factors associated with complaints against physicians working at Mexican Institute of Social Security hospitals

Salud pública de México
Raúl Peña-ViverosJuan Manuel López-Carmona

Abstract

To identify the factors associated with complaints of patients against physicians who work at general hospitals of the Mexican Institute of Social Security (MISS). All the medical complaint files in a three-year period at the nine general hospitals of Mexico State MISS East District were examined. For each complaint filed, two control files were selected from the same hospital and clinical area. Associations were assessed using odds ratios and logistic regression. A total of 130 complaint cases and 260 controls were included. Seven out of 14 risk factors were selected: complications during hospitalization (OR 2.8, 95% CI 1.3-5.8), diagnostic error (OR 3.18, 95% CI 1.7-5.6), use of diagnostic tests (OR 3.7, 95% CI 1.2-11.3), insufficient information given by physicians (OR 2.64, 95% CI 1.22-5.7), voluntary hospital discharge (OR 7.2, 95% CI 2.22-23.6), lack of clinical monitoring during hospitalization (OR 19.12, 95% CI 2.25-162.6), and multiple vaginal revisions during labor (OR 5.17, 95% CI 1.5 17.07). Complaints were filed more often when there was a poor patient-physician relationship, deficient monitoring during labor, therapeutic error, and delay in surgery. Statistical significance was not attained. Complaints against Mex...Continue Reading

Citations

Oct 14, 2008·Nursing Ethics·Edith Valdez-MartínezAllison Squires
Jun 24, 2009·Revista de saúde pública·Loredmy Herrera-KiengelherMalaquias López-Cervantes

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