Dubón PMC

Language: Spanish
References: 11
Page: 15-20
PDF size: 45.56 Kb.

ABSTRACT

Introduction: The research was oriented to the study of medical controversies in the social health services, looking for the main deficiencies in the integration of the patient’s clinical file as well as the patient’s signed informed consent, in order to determine areas of opportunity that allow to increase the quality of health services and avoid conflict during the time when the service takes place. Material and methods: This is a research predominantly qualitative, ethnographic approach with transversal analysis. By simple random sampling 313 files were selected corresponded to cases of arbitration in the National Commission of Medical Arbitration, in that were identified controversy in the provision of the service of medical attention. Results: In the 313 clinical files, were found a total of 117 men (corresponding to 37.4% of the sample) and 196 women (62.6% of the sample), and the age group is between 25 to 44 years, and shows significant distribution gaps in the age group (in both men and women). The public service represents the highest percent with 74.4% followed by the private service with 25.2%. In 84.7% of the cases, the attention were provided in the second level of health service. The results in this research, show that in more than 50% of the cases, patients state that follow up information and medical plan instructions were deficiently provided. The same happened in relation to informed consent, in most cases there were failures in the subscription, compliance with legal requirements, registration procedures and carrying out the procedures referred to in the letter of consent. Similarly 78.6% of the clinical files were insufficiently integrated. Conclusions: It is essential that the medical professionals understand, that has its basis and defense in a truthful and complete clinical file, which primarily contains evidence of the practice in terms of the lex artis, and correlatively allows you to successfully undertake any conflict based in its alleged wrongdoing.

REFERENCES

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