Day by day number of medical litigation's are increasing, doctors are walking down the steps of court of the law. Patients and doctors are not at the ease. Once upon a time doctors were not only dealing with patients physical problems but also with the family’s important decision and people used to walk on the path shown by their doctors, people had tremendous faith on doctors statements, doctors words were as if “Gospels words” for them. Now days are changed, methodology of treating patient is changed, doctors are no more doctors they are businessmen. Medical science has changed Nobility to professionalism. Medical ethics are in books only there is no practical implementation of it, as a consequence of it attacks on doctors, defaming innocent doctors, become victim of system, innocent doctors are becoming scapegoat this dirty education system. For all these reputed so called health science universities are responsible, now a days health science universities are not unable to produce ethical doctors, this is a matter of serious concern. I think health science universities should introspect and prepare a quality study module which will be beneficial for medical students after coming out of their education curriculum and people in the society with whom they come contact later phase their carrier, maximum practical training should be given to medical students to boost up their moral values. More and more time should spend on teaching and practicing practical medical ethics for that health science universities are being blamed however good relationships between patient and doctor will be developed by respecting patients emotions, understanding them thoroughly then and then only medical science will regain their respect and medical profession will again called Noble profession. This is my honest attempt to throw light upon this very important issue. Following are some ramifications of the doctor and patient relationship.
A good relationship between patient and doctors will be developed if doctors will keep their senses opened for understanding his patients for that he need lot of experience and communication skill, understanding patients body language and its correct interpretations. Many a time Doctors will have to play a role of parent, teacher, its all circumstantial.
Doctor as parent: A type of student teacher relationship. In this type of relationship doctor is in commanding position with his skill & knowledge. This kind of relationship will develop in those cases where patients are dependent and in a mood of acceptance, in this doctor is professional he keep on giving orders to his patients and patients will follow his orders.
One way relationship: In this type of relationship a doctor plays active role where as patient remain passive ex. unconscious comatose state where patient remain vulnerable and in pediatric cases a doctor need to understand patients body language and interpretate it properly.
Doctor as a friend: This kind of relationships is unethical to a doctor. A doctor can not be a friend of his patients, if so it will reflect that there is psychological problem in physicians mindset. This kind of relationship develops in the cases of physician is overwhelmed by emotions, he execute his emotions on his patients and turn caring into a personal relationship this is reason why it is called
as unethical relationship, a doctor should not use his patients as substitute in the vacuum of his own relationship.
Doctor as employee: In this type of relationship a physician is hired by his patient by paying his decided amount and doctor keep on doing his duty. In this type of relationship both physician and patient are autonomous. This type of relations does not develop trust between doctor and patient.
Two way relationship (Mutual) : In this type of relationship doctor and patient are both are dependant on each other for inputs active participation both doctor and patient is needed to consolidate their relationship ex. where the diseases are like diabetes, chronic renal failure, in these circumstances a doctor alone can not cure the disease because it is a limitation on his part where patients intelligence and cooperation is necessary, sometimes physician will have to rely upon other experts for proper diagnosis and treatment, while making a decision equal cooperation from patient side is necessary, because of loop whole in this type of relationship doctors are being attacked.
ANTICIPATION OF PATIENTS FROM DOCTORS
· First and foremost anticipation of patient from his doctor is patients think that his doctor is very well trained and only competent person for his treatment.
· Doctor is a person with sense of responsibility, ethics, and obligations.
· Whenever this particular doctor will feel limitation of medical knowledge he will take help of other doctors and try his level best.
· Patient always anticipate that his physician will maintain the secrecy of physical problems of patients and for he is the only person with good moral characters.
· Patients expect respect and curtacy while treating their problems.
· Many a times patients expects more from the doctor thinking that the doctor is divine person will understand him without revealing facts in detail.
· Patients expect that his doctor should maintain secrecy of his family members sickness.
· Patients expect that his doctor should consider his life situations and finances while while giving them treatment.
PATIENTS ANTICIPATIONS WHERE DOCTORS HAVE LIMITATIONS
· Patents expect that his doctor should go to patients doorstep considering that he has plenty of time to spend for him,but it is not possible to doctor to do so it is his limitation
· Patients think that they are paying doctor means doctor is his employee will provide medical services on demand.
ANTICIPATION OF DOCTORS FROM HIS PATIENTS
· Physician expects from his patient that should behave him with honesty, gentleness and he should reveal his illness without concealing his secret so that he will find remedy for it.
· Physician expects from his patient that patient should keep appointment without failure.
· Physician expect from his patient that patient should not get embarrassed while interrogation.
· Physician expects from his patient that they should not enforce him to do unethical and illegal work.
ANTICIPATION OF DOCTORS FROM HIS PATIENTS WHERE PATIENT HAS LIMITATION
Physician expect from his patient that they should not ask counter questions on his opinion, as patients are in trouble as if fish out of water chain of question run inpatients mind which will not stop him asking questions. Physician also expects from his patient that they should gratitude for care he has taken which is not possible almost all cases.
ESSENCE OF PRACTICE OF ETHICS
These days practice of ETHICS has least important; well, practice of ethics in any profession improves not only standard of profession but behavior pattern of every personnel coming in contact in that profession. It improves all and sundry spiritually, economically ultimately it helps in boosting up living standard and quality of life, that way it sets an example in front of others.
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