Medical malpractice litigations against gastroenterologists in Belgium.

IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Acta gastro-enterologica Belgica Pub Date : 2025-01-01 DOI:10.51821/88.1.14028
N Meyten, T G Moreels
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Abstract

Introduction: Medical malpractice litigations represent a reality for clinical physicians. However, no data are available about the impact on gastroenterologists in Belgium.

Aim: We estimated the number of malpractice litigations against gastroenterologists in Belgium based on the annual reports of the Fund for Medical Accidents (FMA), residing under the Belgian national social security service (RIZIV-INAMI).

Methods: FMA annual reports are available online in the public domain from 2012 onwards. We reviewed all available annual reports, focussing on results within the fields of Gastroenterology and Cardiology.

Results: From 2010 to 2023 a total of 6884 applications for malpractice litigations were filed resulting in a final decision for 3185 care providers between 2014 and 2023. In this 10 years period claims were filed against 92 gastroenterologists, placing them in the top 10 of care providers at risk for malpractice litigations in Belgium. There are currently 777 practicing gastroenterologists in Belgium, indicating that over 10 years time the cumulative risk of malpractice litigation through the FMA alone is as high as 12%. The subject of the claims is not mentioned in the FMA reports, and therefore remains unknown. Compared to Cardiology, another interventional speciality within the field of Internal Medicine, gastroenterologists are more prone to malpractice litigations. Only 73 (6%; p<0.001 Chi-square) on a total of 1237 practicing cardiologists faced malpractice litigations through the FMA.

Conclusion: Based on the FMA annual reports, Belgian gastroenterologists are considerably at risk of malpractice litigations reaching 12% over a 10 years time period, as compared to only 6% cumulative risk of practicing cardiologists. Endoscopy-related complications are supposedly the most common reason of malpractice litigation and Belgian gastroenterologists should be aware of this risk.

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导言:医疗事故诉讼是临床医师面临的现实问题。目的:我们根据比利时国家社会保障服务机构(RIZIV-INAMI)下属的医疗事故基金(FMA)的年度报告,估算了比利时针对消化内科医生的医疗事故诉讼数量:方法:自 2012 年起,医疗事故基金的年度报告可在网上公开获取。我们审查了所有可获得的年度报告,重点关注消化内科和心脏病学领域的结果:从 2010 年到 2023 年,共提交了 6884 份医疗事故诉讼申请,最终有 3185 名医疗服务提供者在 2014 年到 2023 年间获得了最终判决。在这10年中,共有92名肠胃病学家遭到索赔,在比利时面临渎职诉讼风险的医疗机构中排名前十。比利时目前有 777 名执业胃肠病学家,这表明在 10 年时间里,仅通过比利时医学会提起的渎职诉讼累积风险就高达 12%。FMA报告中并未提及索赔主体,因此仍是未知数。与内科领域的另一个介入专科心脏病学相比,消化科医生更容易受到医疗事故诉讼。只有 73 例(6%;p 结论:根据比利时医学会(FMA)的年度报告,比利时的肠胃病学家在10年内面临的不当行为诉讼风险高达12%,而心脏病学家的累积风险仅为6%。内镜相关并发症据称是最常见的医疗事故诉讼原因,比利时的消化内科医生应该意识到这一风险。
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来源期刊
Acta gastro-enterologica Belgica
Acta gastro-enterologica Belgica Medicine-Gastroenterology
CiteScore
2.30
自引率
20.00%
发文量
78
期刊介绍: The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.
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