Professional Values and Reported Behaviours of Doctors in the USA and UK: Quantitative Survey
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CitationRoland, Martin, Sowmya R. Rao, Bonnie Sibbald, Mark Hann, Stephen Harrison, Alex Walter, Bruce Guthrie, Catherine Desroches, Timothy G. Ferris, and Eric G. Campbell. 2011. Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. BMJ Quality & Safety 20(6): 515-521.
AbstractBackground: The authors aimed to determine US and UK doctors’ professional values and reported behaviours, and the extent to which these vary with the context of care. Method: 1891 US and 1078 UK doctors completed the survey (64.4% and 40.3% response rate respectively). Multivariate logistic regression was used to compare responses to identical questions in the two surveys. Results: UK doctors were more likely to have developed practice guidelines (82.8% UK vs 49.6% US, p<0.001) and to have taken part in a formal medical errorreduction programme (70.9% UK vs 55.7% US, p<0.001). US doctors were more likely to agree about the need for periodic recertiﬁcation (completely agree 23.4% UK vs 53.9% US, p<0.001). Nearly a ﬁfth of doctors had direct experience of an impaired or incompetent colleague in the previous 3 years. Where the doctor had not reported the colleague to relevant authorities, reasons included thinking that someone else was taking care of the problem, believing that nothing would happen as a result, or fear of retribution. UK doctors were more likely than US doctors to agree that signiﬁcant medical errors should always be disclosed to patients. More US doctors reported that they had not disclosed an error to a patient because they were afraid of being sued. Discussion: The context of care may inﬂuence both how professional values are expressed and the extent to which behaviours are in line with stated values. Doctors have an important responsibility to develop their healthcare systems in ways which will support good professional behavior.
Citable link to this pagehttp://nrs.harvard.edu/urn-3:HUL.InstRepos:5130449
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