Prespectives of medical council members about prevalence and causes of unnecessary medical services in iran and agenda for addressing the problem: a cross sectional study in urmia

Abstract

The purpose of this cross-sectional study was to investigate the perspective of medical council members about prevalence and causes of unnecessary medical services in Iran and agenda for addressing the problem: across sectional study. Method: This study was cross-sectional ,102 physicians from an online community composed of doctors from the orumieh Medical Association Masterfile participated in a survey. The survey inquired about the extent of overutilization, as well as causes, solutions, and implications for health care. Data were collected over an 8-month period. The collected data were entered into SPSS software version 22 and descriptive statistics including frequency and mean and statistical analysis were performed by Chi-square test. Results: There were 102 participants in this study, 54.9% (n = 56) fear of medical malpractice, 23.5% (n = 24) colleagues pressure, 40.2% (n = 41) inadequate time for visiting patients, 16.7% (n = 17) received ratings in evaluation 17.6% (n = 18), pressure from hospital or clinic management, 66.7% (n = 68) patient pressure or request, 24.5% (n = 25) Physician financial security, 11.8% (n = 12) difficulty consulting other physicians, 33.3% (n = 34) lack of patient information and past history, 34.3% (n = 35) difficulty accessing patient medical records, and 10.8% (n = 11) non-indications Certain drug demand for paraclinical services is blamed for unnecessary action at national level. 47.1% (n = 48) produced more guides, 50% (n = 51) resident training on the use of diagnostic criteria, 28.4% (n = 23) increased government oversight, 46.1% (n = 47) easier access to Previous medical records of patients, 20.6% (n = 21) considering the price of diagnostic procedures, 46.7% (n = 47) increasing physicians' salaries, 21.6% (n = 22) involving patients in decision making, and 37.3% (n = 38) consulting, Most have identified with colleagues as ways to prevent unnecessary medical measures. The results of the study showed that the relative frequency of unnecessary medical overtreatment in specialist and family physicians was significantly different from that of the two groups of physicians in terms of laboratory tests P=.04 Undertaking unnecessary measures in relation to fear of failure P=.02, lack of information , and history of patient record P=.017, Pressure or patient request P=.025 .There is also a difference between the perspective of family physicians and specialists regarding the relative frequency of unnecessary measures in producing more Guidelines p=.015 , more residency training on actions Diagnosis p=.001and easier access to patient history record There is a difference p=.001.