{"id":"https://openalex.org/W4400523322","doi":"https://doi.org/10.21203/rs.3.rs-4552005/v1","title":"How common are Medico-legal issues among Obstetricians and Gynecologists in Ethiopia: a descriptive cross-sectional study","display_name":"How common are Medico-legal issues among Obstetricians and Gynecologists in Ethiopia: a descriptive cross-sectional study","publication_year":2024,"publication_date":"2024-07-11","ids":{"openalex":"https://openalex.org/W4400523322","doi":"https://doi.org/10.21203/rs.3.rs-4552005/v1"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-4552005/v1","doi":"https://doi.org/10.21203/rs.3.rs-4552005/v1","is_oa":true,"landing_page_url":"http://dx.doi.org/10.21203/rs.3.rs-4552005/v1","pdf_url":"https://www.researchsquare.com/article/rs-4552005/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.researchsquare.com/article/rs-4552005/latest.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014423728","display_name":"Alula Meresa Teklu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Alula M. Teklu","raw_affiliation_strings":["MERQ Consultancy (Ethiopia)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"MERQ Consultancy (Ethiopia)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060103817","display_name":"Delayehu Bekele","orcid":"https://orcid.org/0000-0002-9243-2622","observed_orcids":["https://orcid.org/0000-0002-9243-2622"]},"institutions":[{"id":"https://openalex.org/I4210159389","display_name":"St. Paul's Hospital Millennium Medical College","ror":"https://ror.org/04ax47y98","country_code":"ET","type":"healthcare","lineage":["https://openalex.org/I4210159389"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Delayehu Bekelle","raw_affiliation_strings":["St. Paul Millenium Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"St. Paul Millenium Medical College","institution_ids":["https://openalex.org/I4210159389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007646744","display_name":"Feiruz Surur","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210159389","display_name":"St. Paul's Hospital Millennium Medical College","ror":"https://ror.org/04ax47y98","country_code":"ET","type":"healthcare","lineage":["https://openalex.org/I4210159389"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Feiruz Surur","raw_affiliation_strings":["St. Paul Millenium Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"St. Paul Millenium Medical College","institution_ids":["https://openalex.org/I4210159389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005732633","display_name":"Munir Kassa","orcid":"https://orcid.org/0000-0001-9482-7380","observed_orcids":["https://orcid.org/0000-0001-9482-7380"]},"institutions":[{"id":"https://openalex.org/I233171062","display_name":"Federal Ministry of Health","ror":"https://ror.org/02v6nd536","country_code":"NG","type":"government","lineage":["https://openalex.org/I233171062"]},{"id":"https://openalex.org/I4210100352","display_name":"Federal Ministry of Health","ror":"https://ror.org/017yk1e31","country_code":"ET","type":"government","lineage":["https://openalex.org/I4210100352"]},{"id":"https://openalex.org/I4210166069","display_name":"Federal Ministry of Health","ror":"https://ror.org/05vp4ka74","country_code":"DE","type":"government","lineage":["https://openalex.org/I4210166069"]}],"countries":["DE","ET","NG"],"is_corresponding":false,"raw_author_name":"Munir Kassa","raw_affiliation_strings":["Director, Quality Improvement, Federal Ministry of Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Director, Quality Improvement, Federal Ministry of Health","institution_ids":["https://openalex.org/I233171062","https://openalex.org/I4210100352","https://openalex.org/I4210166069"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013070741","display_name":"Kesetebirhan Delele Yirdaw","orcid":"https://orcid.org/0000-0002-6237-2104","observed_orcids":["https://orcid.org/0000-0002-6237-2104"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kesetebirhan D Yirdaw","raw_affiliation_strings":["OneStop Urgent Care"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"OneStop Urgent Care","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110944893","display_name":"Daniel Tadesse","orcid":"https://orcid.org/0000-0002-9511-8989","observed_orcids":["https://orcid.org/0000-0002-9511-8989"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniel Taddesse","raw_affiliation_strings":["MERQ Consultancy (Ethiopia)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"MERQ Consultancy (Ethiopia)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078454481","display_name":"Tafesse Lamaro","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Tafesse Lamaro","raw_affiliation_strings":["Addis Ababa University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Addis Ababa University","institution_ids":["https://openalex.org/I4537092"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028995436","display_name":"Ananya Solomon","orcid":"https://orcid.org/0009-0006-0248-7766","observed_orcids":["https://orcid.org/0009-0006-0248-7766"]},"institutions":[{"id":"https://openalex.org/I4210159389","display_name":"St. Paul's Hospital Millennium Medical College","ror":"https://ror.org/04ax47y98","country_code":"ET","type":"healthcare","lineage":["https://openalex.org/I4210159389"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Ananya Solomon","raw_affiliation_strings":["St. Paul Millenium Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"St. Paul Millenium Medical College","institution_ids":["https://openalex.org/I4210159389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081982854","display_name":"Tegene Legese Dadi","orcid":"https://orcid.org/0000-0003-1361-9649","observed_orcids":["https://orcid.org/0000-0003-1361-9649"]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Tegene Legese","raw_affiliation_strings":["Addis Ababa University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Addis Ababa University","institution_ids":["https://openalex.org/I4537092"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5001976132","display_name":"Birhanu Kebede","orcid":"https://orcid.org/0000-0001-6317-3353","observed_orcids":["https://orcid.org/0000-0001-6317-3353"]},"institutions":[{"id":"https://openalex.org/I4210159389","display_name":"St. Paul's Hospital Millennium Medical College","ror":"https://ror.org/04ax47y98","country_code":"ET","type":"healthcare","lineage":["https://openalex.org/I4210159389"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Birhanu Kebede","raw_affiliation_strings":["St. Paul Millenium Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"St. Paul Millenium Medical College","institution_ids":["https://openalex.org/I4210159389"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5014423728"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12339","display_name":"Medical Malpractice and Liability Issues","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3308","display_name":"Law"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12339","display_name":"Medical Malpractice and Liability Issues","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3308","display_name":"Law"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13275","display_name":"Medical and Health Sciences Research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3308","display_name":"Law"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicolegal-issues","display_name":"medicolegal issues","score":0.9810000061988831},{"id":"https://openalex.org/keywords/medical-malpractice","display_name":"medical malpractice","score":0.9319999814033508},{"id":"https://openalex.org/keywords/medical-errors","display_name":"medical errors","score":0.7590000033378601},{"id":"https://openalex.org/keywords/litigation","display_name":"litigation","score":0.5220000147819519},{"id":"https://openalex.org/keywords/obstetrician-gynecologists","display_name":"obstetricians and gynecologists","score":0.8790000081062317},{"id":"https://openalex.org/keywords/physicians-perceptions","display_name":"physician perceptions","score":0.8080000281333923},{"id":"https://openalex.org/keywords/ethics-committees","display_name":"ethics committees","score":0.597000002861023}],"concepts":[{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.8345968127250671},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5043624639511108},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4590874910354614},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.428340345621109},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.4204743504524231},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.08178317546844482},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.062023162841796875},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-4552005/v1","doi":"https://doi.org/10.21203/rs.3.rs-4552005/v1","is_oa":true,"landing_page_url":"http://dx.doi.org/10.21203/rs.3.rs-4552005/v1","pdf_url":"https://www.researchsquare.com/article/rs-4552005/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-4552005/v1","doi":"https://doi.org/10.21203/rs.3.rs-4552005/v1","is_oa":true,"landing_page_url":"http://dx.doi.org/10.21203/rs.3.rs-4552005/v1","pdf_url":"https://www.researchsquare.com/article/rs-4552005/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions","score":0.8999999761581421},{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.7246000170707703}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4400523322.pdf","grobid_xml":"https://content.openalex.org/works/W4400523322.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W1836388616","https://openalex.org/W1885582597","https://openalex.org/W2021454440","https://openalex.org/W2023598810","https://openalex.org/W2108787786","https://openalex.org/W2136320540","https://openalex.org/W2148293406","https://openalex.org/W2149180588","https://openalex.org/W2167049682","https://openalex.org/W2298043174","https://openalex.org/W2337788889","https://openalex.org/W2339695397","https://openalex.org/W2345923405","https://openalex.org/W2388590617","https://openalex.org/W2413006908","https://openalex.org/W2537187233","https://openalex.org/W2885796941","https://openalex.org/W2889123942","https://openalex.org/W2896530482"],"related_works":["https://openalex.org/W4414679352","https://openalex.org/W4312132793","https://openalex.org/W6921140826","https://openalex.org/W2996277489","https://openalex.org/W3158436221","https://openalex.org/W4406083929","https://openalex.org/W3115092742","https://openalex.org/W2981658856","https://openalex.org/W2239849673","https://openalex.org/W4226124299"],"abstract_inverted_index":{"Abstract":[0],"Background:":[1],"One":[2],"of":[3,31,51,57,66,92,104,114,128,157,169,185,192,195,210,221,231,250],"the":[4,9,32,63,82,90,93,115,135,140,193,196,219,222,248,251,259,262,266,271,274,278],"common":[5],"challenges":[6],"encountered":[7],"by":[8,162],"Obstetrics":[10],"and":[11,27,35,55,68,107,120,134,164,240,265,269,277],"Gynecology":[12],"(ObGyn)":[13],"specialists":[14],"is":[15,214,233,255],"medico-legal":[16,99],"issues":[17,95],"including":[18],"litigations":[19],"for":[20,24,208,226],"medical":[21,25,211,227,238],"malpractice,":[22,158],"lawsuits":[23],"errors":[26,239],"others.":[28],"The":[29],"magnitude":[30,91],"challenges,":[33],"perceptions":[34,56],"concerns":[36],"are":[37,203,280],"not":[38],"well":[39],"known.":[40],"This":[41],"study":[42],"looked":[43],"at":[44,149],"these":[45],"factors.":[46],"Methods:":[47],"a":[48,144,215],"cross-sectional":[49],"assessment":[50],"current":[52],"encounters,":[53],"experiences":[54],"practicing":[58],"ObGyn":[59,267],"physicians":[60],"who":[61,171,182],"attended":[62],"Ethiopian":[64],"Society":[65],"Obstetricians":[67],"Gynecologists":[69],"conference":[70],"in":[71,96,131,139],"February":[72],"2016.":[73],"A":[74,102],"self-administered":[75],"semi-structured":[76],"questionnaire":[77],"was":[78,117,183],"used":[79],"to":[80,88,98,126,179],"collect":[81],"data.":[83],"Descriptive":[84],"statistics":[85],"were":[86,110,123,160,166,172,174,190],"done":[87],"determine":[89],"different":[94],"relation":[97],"issues.":[100],"Results:":[101],"total":[103],"112":[105],"obstetricians":[106],"gynecologists":[108],"(OBGYNs)":[109],"interviewed,":[111],"median":[112],"age":[113],"participants":[116],"40":[118],"years":[119],"only":[121],"8.9%":[122],"women.":[124],"Close":[125],"half":[127],"them":[129],"worked":[130,138],"Addis":[132],"Ababa":[133],"same":[136],"proportion":[137],"public":[141],"sector.":[142],"Nearly":[143],"third":[145],"(34.8%)":[146],"admitted":[147],"making":[148],"least":[150],"one":[151],"error,":[152],"21.4%":[153,159],"have":[154],"been":[155],"accused":[156,184],"questioned":[161,173],"police/attorney":[163],"6.3%":[165],"imprisoned.":[167],"83.3%":[168],"those":[170],"declared":[175],"free.":[176],"83%":[177],"claimed":[178],"know":[180],"someone":[181],"malpractice":[186],"unfairly.":[187],"Only":[188],"55.4%":[189],"aware":[191],"role":[194],"federal":[197,252],"ethics":[198,253],"committee.":[199],"Conclusions:":[200],"Many":[201],"ObGyns":[202],"neither":[204],"knowledgeable":[205],"nor":[206],"ready":[207],"management":[209,242],"error.":[212],"There":[213],"huge":[216],"concern":[217],"about":[218,237],"fairness":[220],"treatment":[223],"they":[224],"receive":[225],"error":[228],"lawsuits.":[229],"Fear":[230],"litigation":[232],"enormous.":[234],"Improving":[235],"awareness":[236],"their":[241],"paired":[243],"with":[244],"creating":[245],"clarity":[246],"on":[247],"roles":[249],"committee":[254],"highly":[256],"needed.":[257],"Bridging":[258],"gap":[260],"between":[261,273],"judiciary":[263],"system":[264],"society":[268],"addressing":[270],"disparity":[272],"perceived":[275],"susceptibility":[276],"reality":[279],"crucial.":[281]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2024-07-12T00:00:00"}