Özet:

Objective: To investigate the alleged violations of physician practices reflected to disciplinary mechanism of a professional organization. Methods: This cross-sectional study was conducted by examining all records of the Bursa Chamber of Medicine (BCM), and the files and computer records of Disciplinary Committee, between 1991 and 2014. Results: The findings showed that between 1991 and 2014, 593 applications were made to BCM, and in total, 623 alleged violations were recorded. It was decided that 46.2% of the alleged violations should be sent to the Disciplinary Committee and sanctions were applied for the 29.5% of the alleged violations. The applications were made mostly by the patients, patient relatives or patient proxies (34.1%). Among the physicians, 23.3% of were general practitioners, 1.0% were residents and 75.7% were specialist physicians. The most noticeable alleged violations were as follows: ‘violation of promotion rules, earnings against fair competition’ (35.6%), ‘giving false documents/ reports’ (19.5%) and ‘malpractice’ (11.6%). The violations of ‘giving false documents/ reports’, ‘disrespectfulness to patient rights’ and ‘using middleman, abusing profession for financial interests’ have increased significantly after the Health Transformation Programme (HTP). However, after introduction of the Compulsory Professional Liability Insurance, the number of alleged malpractice cases and the physicians who were sanctioned were not increased. Conclusion: This study provides significant arguments for elucidating violations of professional ethics concerning medical practices and for identifying related problems. The findings suggest that the HTP policies could make the realisation of professional obligations challenging.

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