Original articleWhat Patient Attributes Are Associated With Thoughts of Suing a Physician?
Section snippets
Methods
The statement “I am thinking about suing one of my doctors” (S-MD), which was the focus of this study, was 1 of 600 questions and/or statements in the Battery for Health Improvement research version (BHI-R), and the Battery for Health Improvement 2 (BHI 2),22 which is a shorter version of the BHI-R. We administered the BHI-R to subjects in this study and scored the BHI 2 scales from the BHI-R.
The BHI 2 is a standardized test intended for use in the psychologic assessment of medical patients and
Results
Table 1 shows the percentage of the reference group samples who said that they were thinking about suing one of their treating physicians. The highest percentage (11.5%) was in the sample of patients who were workers’ compensation or injury litigation cases.
Discussion
This is the first study known to us that has addressed the question of which patient attributes are associated with a wish to initiate a malpractice lawsuit against his/her physician. First, we attempted to determine the prevalence among both rehabilitation patients and community-dwellers of a wish to sue a physician. That wish was present in a range from 1.9% to 2.8% in the community sample and from 4.3% to 11.5% in the patient sample. The highest prevalence was in the workers’ compensation
Information From Dichotomous Variables
The BHI 2 dichotomous variables that yielded the most significant ORs (see table 4) were: forced to see MD don’t trust (OR=15.54); angry with MD (OR=10.09); MDs only want money (OR=9.29); hearing voices (OR=8.73); somebody owes me for my pain and suffering (OR=6.68); suicidal ideation (OR=5.78); addiction to prescription medication (OR=5.03); and thoughts of killing people (OR=4.93).
The highest ORs for demographic and non-BHI 2 variables (see table 5) were: MDs get rich off my suffering
Conclusions
In some patient groups, thoughts of suing a physician are not uncommon, and this has been determined to be associated with some patient attributes. While events that occur in a medical setting, such as poor outcomes or medical errors, probably contribute substantially to thoughts of suing, research shows that only a small percentage of patients involved in alleged medical errors resort to litigation. The presence of psychologic risk factors may influence who sues and who does not. Future
Acknowledgments
We thank the staff of Pearson Assessments for its invaluable help in collecting the data. Pearson Assessments was involved in data collection in the original study, in which data were gathered for the purpose of developing the psychologic scale. Pearson Assessments, however, had no role in the design or statistical analysis of this study, nor did Pearson Assessments provide any funding, support, or input. This study’s findings were the result of a reanalysis of the data after the original study
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This study was conducted without external funding. The study, however, reanalyzed data from a previous study that was funded and supported by Pearson Assessments.
A commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a financial benefit upon 1 or more of the authors. Bruns and Disorbio receive Battery for Health Improvement 2 royalties.