Practice of code of ethics and associated factors among medical doctors in Addis Ababa, Ethiopia

In the health sector, questions are being raised about the possible threats to the accepted principles of ethics such as autonomy, beneficence, non malfeasance and justice in the delivery of health care. There is limited information in Ethiopia regarding to practice of code of ethics among medical d...

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Bibliographic Details
Published in:PloS one 2018-08, Vol.13 (8), p.e0201020-e0201020
Main Authors: Tiruneh, Mesafint Abeje, Ayele, Birhanu Teshome
Format: Article
Language:English
Subjects:
Adult
Age
Analysis
Attitude of Health Personnel
Attitudes
Autonomy
Clinical medicine
Codes
Codes of Ethics
Collaboration
Compounds
Content analysis
Continuing professional development
Cross-Sectional Studies - methods
Data analysis
Data processing
Delivery of Health Care - ethics
Education
Ethical aspects
Ethics
Ethics, Medical - education
Ethiopia
Female
Food
Health
Health care
Health care facilities
Health facilities
Health Knowledge, Attitudes, Practice
Hospital administration
Hospital facilities
Hospitals
Humans
Logistic Models
Male
Management
Medical ethics
Medical malpractice
Medical personnel
Medical practice
Medicine
Medicine and Health Sciences
Middle Aged
Motivation
Occupational health
Odds Ratio
People and Places
Physicians
Physicians - ethics
Principles
Public awareness
Qualitative analysis
Regression analysis
Regulation
Research and Analysis Methods
Self-Assessment
Social Sciences
Surveys and Questionnaires
Teaching
Training
Working conditions
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Summary:In the health sector, questions are being raised about the possible threats to the accepted principles of ethics such as autonomy, beneficence, non malfeasance and justice in the delivery of health care. There is limited information in Ethiopia regarding to practice of code of ethics among medical doctors. Hence, this study aimed to assess practice of code of ethics and associated factors among medical doctors working in governmental and private hospitals in Addis Ababa, Ethiopia. Institution based cross sectional quantitative study triangulated with qualitative study was conducted among 500 medical doctors working in governmental and private hospitals and three key informants from Federal Ministry of Health, Ethiopian Food, Medicine and Healthcare Administration and Control Authority and Ethiopian Medical Association in Addis Ababa from May 8, 2017 to June 30, 2017. Data were collected using pretested self-administered structured questionnaire and semi-structured questionnaire. Binary Logistic Regression and Content Analysis methods were used for the quantitative and qualitative data analysis respectively. The study showed that only 152 (30.4%) of medical doctors had good practice of code of ethics. The odds of having good practice of code of ethics among medical doctors in the age group of 25-29 years were 2.749 times the odds of those in the age group of 30-34 years (AOR = 2.749, 95% CI: 1.483, 5.096), medical doctors working in governmental hospitals were 65.4% less likely to have good practice of code of ethics compared to those working in private hospitals (AOR = 0.346, 95% CI: 0.184, 0.652), knowledgeable medical doctors were 83.5% more likely to have good practice of code of ethics compared to those who were not knowledgeable about code of ethics (AOR = 1.835, 95% CI: 0.999, 3.368), and the odds of having good practice of code of ethics among medical doctors with favourable attitude were 7.404 times the odds of those with unfavourable attitude towards code of ethics (AOR = 7.404, 95% CI: 4.254, 12.887). Furthermore lack of motivation, unfavorable working environment, working at various health facilities simultaneously, public awareness, taking courses on medical ethics, lack of unethical conduct reporting and complaint handling system, incompetence of medical doctors, and weak collaboration among key stakeholders were identified as determinants of practice of code of ethics. Only 30.4% of medical doctors had good practice of code of ethics. This in
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0201020