Is the perceived impact of disciplinary procedures on medical doctors' professional practice associated with working in an open culture and feeling supported? A questionnaire among medical doctors in the Netherlands who have been disciplined

INTRODUCTION: Disciplinary procedures can have a negative impact on the professional functioning of medical doctors. In this questionnaire study, doctors' experience with open culture and support during a disciplinary procedure is studied to determine whether open culture and support are associated with perceived changes in the professional practice of doctors. METHODS: All doctors who received a warning or a reprimand from the Dutch Medical Disciplinary Board between July 2012 and August 2016 were invited to fill in a 60-item questionnaire concerning open culture, perceived support during the... Mehr ...

Verfasser: Laarman, Berber S.
Bouwman, Renée J.R.
de Veer, Anke J.E.
Friele, Roland D.
Dokumenttyp: Artikel
Erscheinungsdatum: 2020
Reihe/Periodikum: Laarman , B S , Bouwman , R J R , de Veer , A J E & Friele , R D 2020 , ' Is the perceived impact of disciplinary procedures on medical doctors' professional practice associated with working in an open culture and feeling supported? A questionnaire among medical doctors in the Netherlands who have been disciplined ' , BMJ Open , vol. 10 , no. 11 , e036922 , pp. 1-9 . https://doi.org/10.1136/bmjopen-2020-036922
Schlagwörter: health & safety / law (see medical law) / quality in health care / /dk/atira/pure/sustainabledevelopmentgoals/peace_justice_and_strong_institutions / name=SDG 16 - Peace / Justice and Strong Institutions
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27228663
Datenquelle: BASE; Originalkatalog
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Link(s) : https://research.vu.nl/en/publications/26cbf78c-cff8-4627-b0b3-7cff0ce4d8ce

INTRODUCTION: Disciplinary procedures can have a negative impact on the professional functioning of medical doctors. In this questionnaire study, doctors' experience with open culture and support during a disciplinary procedure is studied to determine whether open culture and support are associated with perceived changes in the professional practice of doctors. METHODS: All doctors who received a warning or a reprimand from the Dutch Medical Disciplinary Board between July 2012 and August 2016 were invited to fill in a 60-item questionnaire concerning open culture, perceived support during the disciplinary procedure and the impact of the procedure on professional functioning as reported by doctors themselves. The response rate was 43% (n=294). RESULTS: A majority of doctors perceive their work environment as a safe environment in which to talk about and report incidents (71.2% agreed). Respondents felt supported by a lawyer or legal representative and colleagues (92.8% and 89.2%, respectively). The disciplinary procedure had effects on professional practice. Legal support and support from a professional confidant and a professional association were associated with fewer perceived changes to professional practice. CONCLUSION: Our study shows that doctors who had been disciplined perceive their working environment as open. Doctors felt supported by lawyers and/or legal representatives and colleagues. Legal support was associated with less of a perceived impact on doctors' professional practice.