Abstract

CARDENAS, Maximiliano  and  SOGI, Cecilia. Ethical-disciplinary demands derived from the medical act in Peru: experience of the last 25 years. Acta méd. Peru [online]. 2018, vol.35, n.4, pp.204-210. ISSN 1728-5917.

Objective: To describe the frequency and characteristics of demands resulting from medical acts in the Peruvian College of Physicians, and also the characteristics of physicians involved in such claims. Material and methods: All ethics- and discipline- decrees issued by the National Council of the Peruvian College of Physicians between 1991 and 2015 as a response to patients’ demands were analyzed. Results: Ethics and discipline- related claims increased 4.3 times between 19912000 and 2006-2015; most of these cases (87%) were from Lima and Callao. The incidence rate of physicians involved in these ethical procedures ranged from 1.05/1000-3.36/1000 over the study period. The most frequent reason for ethical/discipline procedures was because of poor medical care (55%), irregularly issued medical certificates (12%), crime (11%) obtaining an and informed consent before certain procedures (9%). Ethical responsibility was found in 49% of 448 physicians, and certain characteristics, such as being male, general practitioner and working outside Lima and Callao were significantly associated (p < 0.05) with severe ethical faults. Conclusion: There has been an exponential growth in ethics- and discipline- related claims derived from medical acts during the study period. The most frequent complaint was poor medical care.

Keywords : Ethics, medical; Medicolegal aspects; Colegio Médico del Peru.

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