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A Journal on Forensic Medicine
Minerva Medicolegale 2006 September;126(3):243-53
Malpractice “gaming” in radiology
Seccia A. 1, Viora L. 2, Seccia M. A. 3, Faletti C. 1
1 Medico Radiologo Dipartimento di Diagnostica per Immagini Centro Traumatologico Ortopedico (CTO) - Torino
2 Specialista in Medicina Legale e delle Assicurazioni Specialista in Anestesia e Rianimazione Ospedale Mauriziano Umberto I - Torino
3 Dottore in Matematica
Aim. The target is to see if there is a way to analyse by a mathematical method a potentially conflict situation in a so-called radiological malpractice scenery.
Methods. The game theory mathematical method is proposed in order to investigate actors (the persons in the scenery) behaving, according to a fixed logic ratio as the one in the prisoner’s dilemma.
Results. The equilibrium point (Nash) of the strategic relationship corresponds to a conflict situation that can be defined reciprocally by patients claiming on one side and defensive medicine’s practising on the other, being used as game’s strategies. That leads to show that ''diagnostic-therapeutic alliance'' turning around the behavioural choice of trusting each other does not recognise any rational reason.
Conclusions. As far as we must admit that the mathematical model of game theory shown evidence that in the considered radiological scenery the equilibrium point does consist in a conflict steady state of no use to either of the contenders. The Authors stress the importance of making a strong institutional effort to get to a new order (rulers?) of the game in order to lighten the percentage disadvantage for each one of the matchers, that is for civil community.