Click here to download

The Finger and the Moon. Defensive Medicine, Public Policy and Medical Liability
Journal Title: RIVISTA TRIMESTRALE DI SCIENZA DELL’AMMINISTRAZIONE 
Author/s: Ranieri de Maria 
Year:  2013 Issue: Language: Italian 
Pages:  11 Pg. 101-111 FullText PDF:  413 KB
DOI:  10.3280/SA2013-002007
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 


Health care requires ever more resources, due to the technological development and the increase of chronic patients and elderly people. The major waste of resources is given by defensive medicine, the prescription of unnecessary treatments and diagnostic tests for fear of being held liable for Medical Malpractice. The defensive medicine wastes about 10% of the resources, so it’s urgently necessary to reduce it. The Balduzzi decree, instead of improving the quality of the system and the prevention of adverse events, chose to act on medical responsibility, excluding minor negligence when are followed official protocols and guidelines. However, it will reduce the appropriateness of medical practice, it will increase costs, and it does not exclude the need of criminal trials.
Keywords: Health, defensive medicine, medical liability

  1. US Congress (1994). Defensive medicine and medical malpractice. OTA-H-602. Washington DC: Government printing Office, http://biotech.law.lsu.edu/policy/9405.pdf
  2. Summerton N. (1995). Positive and negative factors in defensive medicine? British Medical Journal, 310: 27., DOI: 10.1136/bmj.310.6971.2
  3. 3. Tussing A.D., Wojtowycz M.A. (1997). Malpractice, defensive medicine, and obstetric behavior. Medical Care, 35, 2: 172-191., DOI: 10.1097/00005650-199702000-00007
  4. Studdert D.M., Mello M.M., Sage W.M., DesRoches C.M., Peugh J., Zapert K., Brennan T.A. (2005). Defensive Medicine Among High-Risk Specialist Physicians in a Volatile Malpractice Environment. Journal of the American Medical Association, 293, 21: 2609-2617., DOI: 10.1001/jama.293.21.260
  5. Conferenza permanente per i rapporti tra lo Stato, le Regioni e le Province autonome di Trento e Bolzano. Intesa concernente la gestione del rischio clinico e la sicurezza dei pazienti e delle cure. http://www.normativasanitaria.it/jsp/dettaglio.jsp?id=28920
  6. Ordine Provinciale di Roma dei Medici-Chirurghi e degli Odontoiatri, Presentazione della ricerca nazionale sul fenomeno della medicina difensiva, http://www1. ordinemediciroma.it/oldsite_att/multi/9974/comunicato stampa medicina difensiva.pdf
  7. Presidenza del Consiglio dei Ministri, Ministro per la Cooperazione internazionale e l’Integrazione. Relazione annuale al Parlamento 2012 sull’uso di sostanze stupefacenti e sulle tossicodipendenze in Italia, http://www.politicheantidroga.it/progetti-e-ricerca/ relazioni-al-parlamento/relazioneannuale-2012.aspx
  8. Governo italiano, Documento di Economia e Finanza 2012 – Analisi e tendenze, http: //www.dt.tesoro.it/it/analisi_programmazione_economico_finanziaria/documenti_programmatici/sezione3/def.html
  9. ISTAT. Popolazione e famiglie, http://www.istat.it/it/popolazione
  10. ISTAT. Italia in cifre, edizione 2012, http://www.istat.it/it/archivio/30329
  11. Camera dei deputati, Commissione parlamentare di inchiesta sugli errori in campo sanitario e sulle cause dei disavanzi sanitari regionali. Relazione finale, http://www. quotidianosanita.it/allegati/allegato4662857.pdf
  12. International Monetary Fund. World Economic Outlook Update, Gradual Upturn in Global Growth During 2013, http://www.imf.org/external/pubs/ft/weo/2013/update/01/ pdf/0113.pdf

Ranieri de Maria, The Finger and the Moon. Defensive Medicine, Public Policy and Medical Liability in "RIVISTA TRIMESTRALE DI SCIENZA DELL’AMMINISTRAZIONE" 2/2013, pp. 101-111, DOI:10.3280/SA2013-002007

   

FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content