Effect of malpractice risk and threat of violence towards physicians on
the choice of medical specialties in Türkiye: A cross-sectional survey
Abstract
A modern healthcare system requires the right mix of clinical
specialties to achieve high level of health status for its population.
Despite increased availability of physicians and specialists, Türkiye
still lags behind high-income countries in terms of density of medical
professionals. This study attempts to understand the importance of
various factors in the choice of medical specialization. A survey of 333
medical graduates was conducted to identify the potential factors. A
multivariate regression model was employed to identify the statistically
significant factors. Results indicate that surgical specialties show
statistically significant higher likelihood of selection over other two
broad specialization categories due to attractive factors (anticipated
income and prestige) and lower likelihood of selection due to factors
like relative ease of the training program, high work-load of specialty,
medical malpractice lawsuits and risk of workplace violence. If negative
factors, which can be categorized as avoidance and detrimental factors,
outweigh the attractive factors, surgical specialties may not remain a
highly sought-after specialization. To lower workplace violence in
health sector, structural reforms and system improvements should be
carried out. It is critically important to improve patient-physician
trust and communications to lower the risk of malpractice and
litigation.