<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932018000100025</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2018.05(01)25-035</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Medicina defensiva en Servicios de Urgencias del Hospital Central del Instituto de Previsión Social]]></article-title>
<article-title xml:lang="en"><![CDATA[Defensive medicine in the Emergency Services of the Hospital Central of the Instituto de Prevision Social]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco Britos]]></surname>
<given-names><![CDATA[Marco Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Denis]]></surname>
<given-names><![CDATA[Amado]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morel Ayala]]></surname>
<given-names><![CDATA[Zoilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solalinde]]></surname>
<given-names><![CDATA[María Del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira Gaona]]></surname>
<given-names><![CDATA[Marta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Reissner]]></surname>
<given-names><![CDATA[Clarisse]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Central del Instituto De Previsión Social Servicio de Reumatología. ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Central del Instituto De Previsión Social. Servicio de Clínica Médica. ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Sociedad Iberoamericana de Derecho Médico.  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Católica &#8220;Nuestra Señora de la Asunción&#8221;. Facultad de Ciencias Médicas Unidad de Posgrado]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>5</volume>
<numero>1</numero>
<fpage>25</fpage>
<lpage>35</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932018000100025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932018000100025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932018000100025&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  determinar el grado de medicina defensiva que se practica en los Servicios de Urgencias del Hospital Central del Instituto de Previsión Social, Asunción-Paraguay.  Métodos:  se administró un cuestionario de autoevaluación de tipo Likert validado, a los médicos de atención de emergencia; se exploraron variables relacionadas al sexo, edad, especialización, años de práctica, antecedentes legales previos y turnos de trabajo.  Resultados:  se evaluó a 220 médicos de 8 Servicios de Urgencias, el 82% practicaba medicina defensiva. Los médicos varones mostraron un comportamiento más defensivo (p=0,1). Emergentología, Traumatología y Ortopedia fueron las especialidades con mayor práctica de medicina defensiva (100%). Ginecología y Obstetricia tuvo el mayor número de demandas.  Conclusión:  la medicina defensiva se presenta en un alto porcentaje en los Servicios de Urgencias pues 82% de los médicos practican algún grado de la misma, siendo mayor en varones y en las especialidades Emergentología y Traumatología y Ortopedia]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: To determine the degree of defensive medicine practiced in the Emergency Services of the Hospital Central of the Instituto de Previsión Social, Asunción-Paraguay.  Methods: A validated Likert-type self-assessment questionnaire was administered to emergency care physicians. Variables related to sex, age, specialization, years of practice, previous legal background and work shifts were explored.  Results: Two hundred and twenty physicians from eight Emergency Services were evaluated, 82% practiced defensive medicine. The male doctors showed a more defensive behavior (p=0.1). Emergentology, Traumatology and Orthopedics were the specialties with the highest practice of defensive medicine (100%). Gynecology and Obstetrics had the highest number of demands.  Conclusion: Defensive medicine is presented in a high percentage in the Emergency Services because 82% of doctors practice some degree of it, being higher in males and in the specialties Emergentology, Traumatology and Orthopedics]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[medicina defensiva]]></kwd>
<kwd lng="es"><![CDATA[mala praxis]]></kwd>
<kwd lng="es"><![CDATA[responsabilidad legal]]></kwd>
<kwd lng="es"><![CDATA[servicio de urgencia en hospital.]]></kwd>
<kwd lng="en"><![CDATA[defensive medicine]]></kwd>
<kwd lng="en"><![CDATA[malpractice]]></kwd>
<kwd lng="en"><![CDATA[legal responsibility]]></kwd>
<kwd lng="en"><![CDATA[emergency service in hospital]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<collab>U.S. Congress, Office of Technology Assessment.</collab>
<source><![CDATA[Defensive Medicine and Medical Malpractice.]]></source>
<year>1994</year>
<publisher-loc><![CDATA[Washington, DC ]]></publisher-loc>
<publisher-name><![CDATA[U.S. Government Printing Office]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[JMO]]></given-names>
</name>
<name>
<surname><![CDATA[Rodriguez]]></surname>
<given-names><![CDATA[JMM]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[FHL.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medicina defensiva, su impacto en las instituciones de salud.]]></article-title>
<source><![CDATA[Rev CONAMED]]></source>
<year>2009</year>
<volume>14</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>4-10</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Summerton]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Positive and negative factors in defensive medicine]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>1995</year>
<volume>310</volume>
<numero>6971</numero>
<issue>6971</issue>
<page-range>27-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Studdert]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Mello]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Sage]]></surname>
<given-names><![CDATA[WM]]></given-names>
</name>
<name>
<surname><![CDATA[DesRoches]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Peugh]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zapert]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Defensive medicine among high-risk specialist physicians in a volatile malpractice environment.]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2005</year>
<volume>293</volume>
<numero>21</numero>
<issue>21</issue>
<page-range>2609-17</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez-González]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Tena-Tamayo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Campos-Castolo]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández-Gamboa]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera-Cisneros]]></surname>
<given-names><![CDATA[AE.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medicina defensiva en México: una encuesta exploratoria para su caracterización.]]></article-title>
<source><![CDATA[Cir Ciruj]]></source>
<year>2005</year>
<volume>3</volume>
<page-range>199-206</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ransom]]></surname>
<given-names><![CDATA[SB]]></given-names>
</name>
<name>
<surname><![CDATA[Dombrowski]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Shephard]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Leonardi]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The economic cost of the medical-legal tort system.]]></article-title>
<source><![CDATA[Am J Obstet Gynecol.]]></source>
<year>1996</year>
<volume>174</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1903-7</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mello]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Chandra]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gawande]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Studdert]]></surname>
<given-names><![CDATA[DM.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[National Costs Of The Medical Liability System.]]></article-title>
<source><![CDATA[Health Aff Proj Hope.]]></source>
<year>2010</year>
<volume>29</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1569-77</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schwartz]]></surname>
<given-names><![CDATA[SK.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Defensive medicine versus value-based care.]]></article-title>
<source><![CDATA[Med Econ]]></source>
<year>2016</year>
<volume>93</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>17-20-2.</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nahed]]></surname>
<given-names><![CDATA[BV]]></given-names>
</name>
<name>
<surname><![CDATA[Babu]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[TR]]></given-names>
</name>
<name>
<surname><![CDATA[Heary]]></surname>
<given-names><![CDATA[RF.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Malpractice Liability and Defensive Medicine]]></article-title>
<source><![CDATA[PLoS ONE]]></source>
<year>2012</year>
<volume>7</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[TW]]></given-names>
</name>
<name>
<surname><![CDATA[McCarthy]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Kelen]]></surname>
<given-names><![CDATA[GD]]></given-names>
</name>
<name>
<surname><![CDATA[Levy]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An Epidemiologic Study of Closed Emergency Department Malpractice Claims in a National Database of Physician Malpractice Insurers.]]></article-title>
<source><![CDATA[Acad Emerg Med.]]></source>
<year>2010</year>
<volume>17</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>553-60</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sekhar]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Vyas]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Defensive Medicine]]></article-title>
<source><![CDATA[Ann Med Health Sci Res.]]></source>
<year>2013</year>
<volume>3</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>295-6</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ortashi]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Virdee]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hassan]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mutrynowski]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Abu-Zidan]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The practice of defensive medicine among hospital doctors in the United Kingdom.]]></article-title>
<source><![CDATA[BMC Med Ethics.]]></source>
<year>2013</year>
<volume>14</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>42</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Robles-Elías]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Peña-Nina]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Robles-Morales]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz-Barriga]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[¿Despenalizar los actos médicos? Una primera aproximación a partir de una perspectiva dual:]]></article-title>
<source><![CDATA[Decriminalize Med Proced First Approach Dual Perspect Med Law Engl.]]></source>
<year>2014</year>
<volume>82</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>828-38</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pellisé]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Sell]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Force]]></surname>
<given-names><![CDATA[EPLT.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patient information and education with modern media]]></article-title>
<source><![CDATA[Eur Spine J.]]></source>
<year>2009</year>
<volume>14</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>395-401</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garcia-Retamero]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Galesic]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[On defensive decision making]]></article-title>
<source><![CDATA[Health Expect.]]></source>
<year>2014</year>
<volume>17</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>664-9</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kessler]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[McClellan]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Do Doctors Practice Defensive Medicine?]]></article-title>
<source><![CDATA[Q J Econ.]]></source>
<year>1996</year>
<volume>111</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>353-90</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shokrollahi]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Request for Treatment: the evolution of consent.]]></article-title>
<source><![CDATA[Ann R Coll Surg Engl.]]></source>
<year>2010</year>
<volume>92</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>93-100</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez Almada]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[De la medicina defensiva a la medicina asertiva.]]></article-title>
<source><![CDATA[Rev Médica Urug]]></source>
<year>2006</year>
<volume>22</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>167-8</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tamayo]]></surname>
<given-names><![CDATA[CT]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[JMS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medicina asertiva]]></article-title>
<source><![CDATA[Ginecol Obstet Méx.]]></source>
<year>2005</year>
<volume>73</volume>
<page-range>553-9</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eastaugh]]></surname>
<given-names><![CDATA[SR.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reducing litigation costs through better patient communication.]]></article-title>
<source><![CDATA[Physician Exec.]]></source>
<year>2004</year>
<volume>30</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>36-8</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vázquez López]]></surname>
<given-names><![CDATA[JE.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La" Lex Artis ad hoc" como criterio valorativo para calibrar la diligencia exigible en todo acto o tratamiento médico]]></article-title>
<source><![CDATA[Cuad Med Forense.]]></source>
<year>2010</year>
<volume>16</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>179-82</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Toraldo]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Vergari]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Toraldo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medical malpractice, defensive medicine and role of the &#8220;media&#8221; in Italy]]></article-title>
<source><![CDATA[Multidiscip Respir Med]]></source>
<year>2015</year>
<volume>10</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Osti]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Steyrer]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A national survey of defensive medicine among orthopaedic surgeons, trauma surgeons and radiologists in Austria]]></article-title>
<source><![CDATA[J Eval Clin Pract.]]></source>
<year>2015</year>
<volume>21</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>278-84</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ali]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Hummeida]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Elhassan]]></surname>
<given-names><![CDATA[YAM]]></given-names>
</name>
<name>
<surname><![CDATA[WO]]></surname>
<given-names><![CDATA[M.Nabag]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmed]]></surname>
<given-names><![CDATA[MAA]]></given-names>
</name>
<name>
<surname><![CDATA[Adam]]></surname>
<given-names><![CDATA[GK.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Concept of defensive medicine and litigation among Sudanese doctors working in obstetrics and gynecology.]]></article-title>
<source><![CDATA[BMC Med Ethics]]></source>
<year>2016</year>
<volume>17</volume>
</nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Frakes]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Defensive Medicine and Obstetric Practices.]]></article-title>
<source><![CDATA[J Empir Leg Stud.]]></source>
<year>2012</year>
<volume>9</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>457-81</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Minossi]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[AL da]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medicina defensiva]]></article-title>
<source><![CDATA[Rev Colégio Bras Cir.]]></source>
<year>2013</year>
<volume>40</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>494-501</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jakobs]]></surname>
<given-names><![CDATA[Gunther.]]></given-names>
</name>
</person-group>
<source><![CDATA[Derecho Penal]]></source>
<year>1997</year>
<page-range>744</page-range><publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Marcil Pons]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Argnani]]></surname>
<given-names><![CDATA[PI.]]></given-names>
</name>
</person-group>
<source><![CDATA[Responsabilidad penal del médico.]]></source>
<year>2013</year>
<page-range>77-87</page-range><publisher-loc><![CDATA[Bs As ]]></publisher-loc>
<publisher-name><![CDATA[Ed Astrea]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brateanu]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Schramm]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Boyer]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Nottingham]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Taksler]]></surname>
<given-names><![CDATA[GB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quantifying the defensive medicine contribution to primary care costs.]]></article-title>
<source><![CDATA[J Med Econ.]]></source>
<year>2014</year>
<volume>17</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>810-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
