Year 2020 Vol. 28 No 5

GENERAL & SPECIAL SURGERY

V.E. FEDOROV, K.A. PODELYAKIN

SPECIFICITY OF THE CONFLICT "PATIENT-SURGEON"

Saratov State Medical University Named after V.I. Razumovsky, Saratov,
The Russian Federation

Objective. Analysis of the causes, nature of complaints against surgeons, studying of problems of protecting the professional activities of a physician.
Methods. According to information provided by the Territorial Authority to monitor the health service quality in Saratov Region, for the period of 2018 5 months of 2019, 1699 citizens complaints were received. 42 complaints were received regarding the quality of medical care in the medical institutions of the region in the surgery profile, which accounted for 9.3% of the total number of complaints.
Results. According to the information received, the most claims against surgeons was registered in Central Regional Hospitals (CRH) 10 (23.8%) complaints. The first place in terms of the number of complaints is taken by surgical departments of hospitals 16 (38.1%) cases, the second place outpatient clinics of the Central Regional Hospital and polyclinics [14 (33.3%) cases], the third place private clinics [7 (16.7 %) cases].
The essence of many complaints, first of all, consists in appealing for professional analysis of treatment case with an unfavorable outcome. In case of unsuccessful treatment, the majority of patients and their relatives most often [24 (57.1%) cases] demanded simply an examination of the treatment case and / or medical institution, and not criminal punishment. In 1 (2.4%) case, the patient simply wanted to report a problem related to the diagnosis and treatment of his disease. There was no information about any criminal punishment of the surgeons in the text of their complaints.
Conclusion. The surgeon-patient conflict in the form of a complaint is a structurally complex process with objective and subjective components that are influenced by a wide variety of risk factors. The growing discrepancy between the protection of a patient and a surgeon during the transfer of complaints to supervisory and legal authorities gradually increases the distortion of their analysis.

Keywords: surgery, medical error, conflict, law, complaint
p. 527-535 of the original issue
References
  1. Doskin VA, Derinova EA, Kartoeva RA, Sokolova MS. Medical errors and conflicts in clinical practice. Klin Meditsina. 2014;92(4):57-63. https://elibrary.ru/item.asp?id=21480010 (In Russ.)
  2. Bagmct AM. Without the complications of medicine does not happen? Aktualnye Problemy Meditsiny & Biologii. 2018;(2):6-10. doi: 10.24411/2587-4926-2018-10002 (In Russ.)
  3. Konanykhina AK, Komarova GA, Kochubei AV. Pravo na oshibku: vrachebnye oshibki glazami vrachei i patsientov. Klin Praktika. 2018;9(3):70-72. 2018;9(3):70-72. (In Russ.)
  4. Konstitutsiia Rossiiskoi Federatsii [Elektronnyi resurs]. 1993 [data obrashcheniia: 2019 Okt 20]. Rezhim dostupa: http://www.consultant.ru/document/cons_doc_LAW_28399 ( In Russ.)
  5. O poriadke rassmotreniia obrashchenii grazhdan Rossiiskoi Federatsii: Federalnyi zakon; 59 FZ [Elektronnyi resurs]. 2006 May 2 [data obrashcheniia: 2019 Okt 20]. Rezhim dostupa: http://www.consultant.ru/document/cons_doc_LAW_59999 ( In Russ.)
  6. Ugolovnyi kodeks Rossiiskoi Federatsii; 63-FZ (red. ot 02.08.2019) [Elektronnyi resurs]. 1996 Iiun 13 [data obrashcheniia: 2019 Okt 20]. Rezhim dostupa: http://www.consultant.ru/document/cons_doc_LAW_10699
  7. Davydovskii IV. Vrachebnye oshibki. Sovet Meditsina. 1941;(3):3-10. ( In Russ.)
  8. Lesnichenko AM. Vrachebnaia oshibka. Vopr Nauki i Obrazovaniia [Elektronnyi resurs]. 2018;(13):66-78. Rezhim dostupa: https://scientificpublication.ru/images/PDF/2018/25/vrachebnaya-oshibka.pdf ( In Russ.)
  9. Isakov VD. Professionalnye pravonarusheniia meditsinskikh rabotnikov i ikh sudebno-meditsinskaia ekspertiza: lektsii. S-Peterburg, RF; 2004. https://www.forens-med.ru/book.php?id=106
  10. World Medical Association Declaration of Geneva [Internet] [cited 2019 Oct 20]. Available from: https://www.wma.net/policies-post/wma-declaration-of-geneva
  11. Ob osnovakh okhrany zdorovia grazhdan v Rossiiskoi Federatsii: Federalnyi zakon; 323-FZ [Elektronnyi resurs]. 2011 November 21 [data obrashcheniia: 2019 Okt 20]. Rezhim dostupa: http://www.consultant.ru/document/cons_doc_LAW_121895
  12. Shevtsova YuV, Emelina AV, Zaharova EA. To the issue about the conflicts between doctors and patients and psychological preparation of doctors for work. Med Alm. 2011;(5):36-39. ( In Russ.)
  13. Bobrov OE. Vrachebnaia oshibka ili professionalnoe nevezhestvo? Mify, illiuzii, realnost [Elektronnyi resurs]. TRIGGER. 2016 Mart 13 [data obrashcheniia: 2019 Okt 20]. Rezhim dostupa: https://trigger.in.ua/analitika/vrachebnaya-oshibka-ili-professionalnoe-nevezhestvo-mifyi-illyuzii-realnost.html (In Russ.)
Address for correspondence:
410012, Russian Federation,
Saratov, Bolshaya Kazachya str., 112,
Saratov State Medical University Named
after V.I. Razumovsky of the Ministry of Health,
the Department of Surgery and Oncology
tel. mobile: +7 937 969-59-53,
e-mail: nothingexcept@gmail.com
Podelyakin Konstantin A.
Information about the authors:
Fedorov Vladimir E., MD, Professor of the Department of Surgery and Oncology, Saratov State Medical University Named after V.I. Razumovsky, Saratov, Russian Federation.
https://orcid.org/0000-0003-4980-0829
Podelyakin Konstantin A., Resident of the Department of Surgery and Oncology, Saratov State Medical University Named after V.I. Razumovsky, Saratov, Russian Federation.
https://orcid.org/0000-0002-1583-3318
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