Medico-legal cases associated with older physicians’ cognitive ability to practice medicine

Genevieve Casey MSc, MBBS, FRCPC, Karen Lemay RN, CPPS, Jun Ji MHA, Qian Yang MSc, Anna MacIntyre RN, Dianne Heroux BScN, Gary Garber MD FRCPC FACP FIDSA CCPE
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Abstract

Background: Dementia increases as individuals age. Aging physicians represent a growing population. Studies have demonstrated there are physicians with cognitive impairments practicing medicine. The medico-legal consequences of physicians with cognitive impairments have not been investigated.

Methods: The Canadian Medical Protective Association (CMPA) is a national medical association with 108,000 members who advise and assist doctors with medico-legal matters. They maintain a national repository of legal actions and complaints to regulatory bodies and hospitals. We looked at civil-legal and regulatory college cases closed over a 10-year period associated with physicians aged ≥55. A word search of the cases was conducted using “Dementia, Alzheimer, Cognitive impairment, Cognitive decline, Memory loss, Memory issues, Fit for/to practice.”

Results: The CMPA closed 67,566 cases between 2012 and 2021 and 16% (10,599) involved members ≥55. A mixed methodology approach identified 65 cases associated with physician's cognitive ability to practice medicine. Of these 65 cases, the average age of physician was 71.3 (56.1–88.5). The proportion of cases where concern was associated with a physician's cognitive ability to practice medicine increased, from 0.2% of cases in 55–60-year-olds, to 7.7% in physicians over 80.

Interpretation: As physicians age, concerns about cognitive impairment are more likely to contribute to medico-legal matters.

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与老年医生行医认知能力相关的医学法律案件。
背景:痴呆症随着个体年龄的增长而增加。老年医生代表着不断增长的人口。研究表明,有认知障碍的医生在行医。患有认知障碍的医生的医学法律后果尚未得到调查。方法:加拿大医疗保护协会(CMPA)是一个全国性的医学协会,拥有108,000名会员,为医生提供医疗法律事务方面的建议和协助。它们拥有一个全国性的法律行动和向监管机构和医院投诉的资料库。我们研究了与年龄≥55岁的医生相关的10年内结案的民事法律和监管学院案件。用“痴呆、阿尔茨海默病、认知障碍、认知衰退、记忆丧失、记忆问题、适合练习”对这些病例进行单词搜索。结果:2012年至2021年,CMPA共结案67,566例,其中16%(10,599例)涉及55岁以上会员。一种混合方法学方法确定了65例与医生的认知能力有关的病例。65例患者中,医师平均年龄为71.3岁(56.1 ~ 88.5岁)。在55-60岁的病例中,担忧与医生的行医认知能力有关的病例比例从0.2%上升到7.7%,而在80岁以上的医生中,这一比例为7.7%。解释:随着医生年龄的增长,对认知障碍的担忧更有可能导致医疗法律问题。
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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
44
期刊介绍: The Journal of Healthcare Risk Management is published quarterly by the American Society for Healthcare Risk Management (ASHRM). The purpose of the journal is to publish research, trends, and new developments in the field of healthcare risk management with the ultimate goal of advancing safe and trusted patient-centered healthcare delivery and promoting proactive and innovative management of organization-wide risk. The journal focuses on insightful, peer-reviewed content that relates to patient safety, emergency preparedness, insurance, legal, leadership, and other timely healthcare risk management issues.
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