Quantificação e qualificação das denuncias contra médicos no Conselho Regional de Medicina do estado de Goiás
Arquivos
Data
2007
Autores
Santos, Iliam Cardoso dos 
Orientadores
Fujita, Reginaldo Raimundo
Tipo
Tese de doutorado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: O fortalecimento da cidadania reforça os instrumentos de defesa
dos direitos individuais. Os atuais modelos de atenção à saúde minimizam a
comunicação entre médicos e pacientes. Cresce o número de queixas
formalizadas contra atitudes médicas. É grande o impacto social dessas
denúncias. Faltam estudos, no Brasil, que lhes dêem significado. Objetivo:
Este trabalho pretende quantificar e qualificar as reclamações apresentadas ao
Conselho Regional de Medicina do Estado de Goiás contra médicos ali
inscritos. Método: Estudo descritivo, retrospectivo, sobre as denúncias
formalizadas em Goiás, entre 2000 e 2006. Leitura interpretativa da evolução
processual das queixas ajuizadas no CREMEGO e cálculo da eficácia das
ações dali decorrentes. Resultado: Foi significativa a flutuação na freqüência
de reclamações entre 2000 e 2006, no Estado de Goiás; 62% das queixas
alegaram incompetência do profissional e inadequada relação médico/paciente.
O número de queixas contra as especialidades de Cirurgia Plástica e Ortopedia
representam 50% das queixas em relação a todos os especialistas. Houve 73
denúncias contra quatro profissionais da cirurgia plástica e um médico foi
denunciado 49 vezes. Em 60% dos casos a denúncia foi feita por pessoa física.
Discussão: Foram considerados improcedentes 17% das denúncias e 35%
das restantes se transformaram em processos éticos (10% arquivados); O
julgamento levou à advertência e censura em alguns casos e suspensão (5%)
e cassação do exercício profissional (3%). Mais de 90% dos casos anuais
foram resolvidos. Conclusão: O problema tem sido abordado com eficácia e
eficiência, apesar de imperfeições na gestão do banco de dados, que impedem
algumas análises qualitativas da questão.
Introduction: The strengthening of citizenship reinforces the instruments to defend the individual rights. The health care models currently used minimize the communication between doctors and patients. The number of formal complaints against attitudes of doctors has been increasing. The social impact of these accusations is great, but there is lack of studies in Brazil and in the state of Goiás to make them meaningful. Objective: This work was intended to quantify and qualify the complaints presented to the Regional Medical Council of the state of Goiás against medical acts. Methodology: Descriptive, retrospective study of the denouncement formally registered in the state of Goiás between 2000 and 2006; interpretative reading of the processual evolution of the complaints formalized in the Regional Medical Council of the state of Goiás and calculation of the efficacy of the actions resulting from this. Results: The variation in the complaint frequency between 2000 and 2006 was not high; 62% of the complaints concerned professional incompetence and inadequate doctor–patient relationship. The number of complaints regarding plastic surgery and orthopedics corresponded to 50% of the ones related to specialists. There were 73 charges against four plastic surgeons and one doctor was denounced 49 times. In 60% of the cases the accusations were made by individuals. Discussion: The Regional Medical Council considered 17% of the charges groundless and 35% of the remaining accusations turned into ethical processes (10% of which were filed). The Regional Medical Council session resulted in admonition and censure in some cases, suspension (5%), and cancelation of the register to practice medicine (3%). Over 90% of the annual cases were solved. Conclusion: This problem has been effectively and efficiently approached, in spite of imperfections in data base management, which prevents qualitative analyses of this matter.
Introduction: The strengthening of citizenship reinforces the instruments to defend the individual rights. The health care models currently used minimize the communication between doctors and patients. The number of formal complaints against attitudes of doctors has been increasing. The social impact of these accusations is great, but there is lack of studies in Brazil and in the state of Goiás to make them meaningful. Objective: This work was intended to quantify and qualify the complaints presented to the Regional Medical Council of the state of Goiás against medical acts. Methodology: Descriptive, retrospective study of the denouncement formally registered in the state of Goiás between 2000 and 2006; interpretative reading of the processual evolution of the complaints formalized in the Regional Medical Council of the state of Goiás and calculation of the efficacy of the actions resulting from this. Results: The variation in the complaint frequency between 2000 and 2006 was not high; 62% of the complaints concerned professional incompetence and inadequate doctor–patient relationship. The number of complaints regarding plastic surgery and orthopedics corresponded to 50% of the ones related to specialists. There were 73 charges against four plastic surgeons and one doctor was denounced 49 times. In 60% of the cases the accusations were made by individuals. Discussion: The Regional Medical Council considered 17% of the charges groundless and 35% of the remaining accusations turned into ethical processes (10% of which were filed). The Regional Medical Council session resulted in admonition and censure in some cases, suspension (5%), and cancelation of the register to practice medicine (3%). Over 90% of the annual cases were solved. Conclusion: This problem has been effectively and efficiently approached, in spite of imperfections in data base management, which prevents qualitative analyses of this matter.
Descrição
Citação
SANTOS, Iliam Cardoso dos. Quantificação e qualificação das denuncias contra médicos no Conselho Regional de Medicina do estado de Goiás. 2007. 148 f. Tese (Doutorado em Ciências) - Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2007.