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repOrt – Periodico online di SICOOP – 16/01

repOrt – Periodico online di SICOOP – 16/01

Medscape Malpractice Report 2015: Why Most Doctors Get Sued

Medscape surveyed nearly 4000 primary care physicians and selected specialists to find out if and why they were sued; how the lawsuit affected their career and patient care decisions; and what these doctors suggest to reduce the number of lawsuits. The report shows the long-term effects, both emotional and financial, of malpractice suits on vulnerable doctors. more …

 

Patients’ decision making in total knee arthroplasty

Patients’ decision making plays a central role in preference-based health decisions. This review aggregates the qualitative literature surrounding patients’ decision making in knee arthroplasty surgery. The aim of this review was to provide an aggregation of studies (c.f. a synthesis of qualitative studies) the difference, as Sandelowski, Barroso and Voils  describe, is accumulation and summary, rather than transformation. This represents an approach consistent with a “lines argument synthesis”, defined as “building up a picture of the whole” and represents what Pantoja described as a realist synthesis with narrative review,  however, the term synthesis here refers to the combination of results, rather than any second or third order interpretation of them. more …

 

Arthroplasty Devices: Registries and Beyond

Proximal tibiofibular joint: Rendezvous with a forgotten articulation

Evidence synthesis from a variety of sources into a robust clinical and regulatory framework could allow innovation to occur in such a way that genuine improvements can be delivered to patients, while protecting patients from unintended and sometimes severe consequences. more …

The aim of this paper was to review the relevant clinical anatomy, biomechanics and traumatic pathology of PTFJ with its effect on the knee emphasizing the importance of early diagnosis through a high index of suspicion. Dislocation of the joint may have serious implications for the knee joint stability since fibular collateral ligament and posterolateral ligament complex is attached to the upper end of the fibula. more …

 

The Public–Private Pendulum — Patient Choice and Equity in Sweden

The current Swedish health care system is largely the product of past national governments led by the Social Democrats, which strongly emphasized equity and reliance on the public sector. Since 1990, however, both center- right and center-left governments have turned to competition and consumer choice as ways to in- crease efficiency in areas previously dominated by public monopolies more …