Title

Health plan members' views on forgiving medical errors

UMMS Affiliation

Meyers Primary Care Institute; Department of Medicine, Division of Preventive and Behavorial Medicine; Clinical and Population Health Research Program

Date

2-9-2005

Document Type

Article

Subjects

Cross-Sectional Studies; Humans; Managed Care Programs; Medical Errors; New England; *Physician-Patient Relations; Questionnaires; *Truth Disclosure

Disciplines

Life Sciences | Medicine and Health Sciences

Abstract

BACKGROUND: How patients respond to medical errors may influence how physicians approach disclosure of medical errors, but information on patients' responses is limited. Research is needed on how the circumstances that surround a medical error affect how patients respond. OBJECTIVE: To investigate whether patients' tendency to forgive a physician following a medical error varied under different circumstances. STUDY DESIGN: Cross-sectional survey. METHODS: We mailed a questionnaire to 1500 randomly selected health plan members; the response rate was 66%. Questionnaire items assessed the likelihood of forgiveness following a medical error under 12 circumstances drawn from a review of the literature. RESULTS: Respondents were most likely to forgive a physician if the patient failed to provide complete information (93% would or might forgive) and least likely to forgive if the error was due to efforts to keep costs down (11% would or might forgive). Most respondents would not forgive a physician when the physician was tired or distracted (68%), was incomplete in data collection (76%), lacked knowledge (78%), or failed to follow up (85%). Men were more likely to forgive than women; the most educated respondents were most likely to forgive. CONCLUSIONS: Our findings suggest that patients are not likely to forgive a physician in circumstances in which they suspect incompetence, inattention, or a lack of caring on the part of the physician involved. A more comprehensive understanding of forgiveness and the effect of forgiveness on the physician-patient relationship following a medical error is needed.

Rights and Permissions

Citation: Am J Manag Care. 2005 Jan;11(1):49-52.

Related Resources

Link to article in PubMed

Journal Title

The American journal of managed care

PubMed ID

15697100