Doctors Quotes ( quotes)
24 घंटे, अपने मोबाइल पर चैट और कॉल पर विशेषज्ञ डॉक्टर से बात करें। India's No 1 Online Doctor consultation app. Introducing DocsApp Gold. Meagre government spending on healthcare has resulted in poor According to a study by the Indian Medical Association, over 75% of doctors have faced . The relationship between a doctor and a patient is paternalistic. Consider this dose of great doctor jokes your official prescription for funny. Parenting · Pets · Home · Relationships · Saving Money · Travel · Work & Career My wife, a phlebotomist at the Denver VA hospital, entered a patient's room . The second guy points to his thick glasses and begs for a cure for his poor eyesight.
The remaining healthcare providers are in the private sector. The private healthcare providers consist of private practitioners, for-profit hospitals and nursing homes, and charitable hospitals. They are diverse and fragmented. Insurance penetration is low and the government does not provide enough resources for free healthcare, leaving people to fend for themselves as best as they can.
Many incidents of violence have occurred at the time of billing and with any decrease in the already pitiable budget for health the situation is likely to deteriorate further. There is sometimes a perception that doctors being well connected will get away and hence there is a tendency to take the law into their own hands by resorting to violence.
There is also a belief that the patient's attendants who assault doctors will go unpunished. Mob mentality Mob mentality frequently snowballs into a violent crisis in hospitals. The 2-minute of fame and news coverage drives these antisocial elements to often damage the social fabric during a medical accident.
Unique to India, the unfortunate death of a patient is sometimes given religious and caste colour by some miscreants, especially if the doctor belongs to a different caste or religion than the patient. Low health literacy This is often used to propagate myths and false accusations are made even in cases of death due to a previous illness. During emotional breakdown following death of near and dear ones, it becomes impossible to present or understand a rational view.
Unrealistic expectations are also part of the low health literacy. There is an increasing expectation from patients that with modern medicine and technology a doctor should be able to guarantee a good outcome. Cost of healthcare The rising cost of healthcare is the key reason for the breakdown of the bond between doctors and their patients. In a family where a regular meal takes primacy over health, anger and grief at losing someone despite spending beyond their means is understandable, but unfortunately it often culminates in violence.
Whatever the provocation, justifying any violence especially against a doctor who tries to help in times of need has to be strongly condemned. Poor communication One of the prominent reasons for patient—doctor mistrust in China was the perception of injustice within the medical sphere, related to profit mongering, knowledge imbalance and physician's conflict of interest.
Patient—doctor mistrust precipitated medical disputes leading to outcomes such as non-resolution with patient resentment towards physicians or violent resolution such as physical and verbal attacks against physicians. Policy responses to violence included increased hospital security forces, which inadvertently fuelled mistrust.
Instead of encouraging communication that facilitated resolution, medical disputes sometimes ignited a vicious cycle leading to mob violence. The relationship between a doctor and a patient is paternalistic where patients are still not considered equal partners by their caregivers.
This at time leads to arrogant behaviour, condescending attitude and use of jargon by doctors, which confuses the patient. This is an area where much emphasis needs to be laid especially during medical training. Doctors are taught clinical behaviour but not empathy.
Incidents of violence against doctors in India: Can these be prevented? Nagpal N - Natl Med J India
Effective patient—doctor communication has been shown to correlate with patient satisfaction with healthcare services. Given the patient load, lack of time, gross deficiency of staff and other resources, these issues receive only lip service in India, especially in the government sector.
Lack of security Violence is easily orchestrated in Indian healthcare establishments partly because security staff in SMHCE in the government and private sectors is non-existent due to lack of funds.
With meagre budgets, not sufficient to hire enough doctors and nurses, it would be unrealistic to expect adequate security in Indian hospitals except in a few corporate hospitals. Types of violence Violence against doctors in India comprises: Doctors facing violence have been known to go into depression, develop insomnia, post-traumatic stress and even fear and anxiety causing absenteeism  in the UK; a similar situation likely prevails in India.
Prevention of Violence Against Medical Practitioners in India Possible steps There is an urgent need to make healthcare facilities a safe environment. Only then can healthcare professionals be expected to work with devotion and dedication. Sensational media coverage of the death of a patient due to a doctor's alleged negligence has only served to work against the patient's own interest.
Healthcare professionals are now reluctant to handle serious cases; hence many precious lives that could have been saved are being lost.
Doctor–patient relationship - Wikipedia
This single change will stop all violence by the patient's attendants. The problem with the present law is that after violence has occurred, the doctor files a police complaint and simultaneously the patient and relatives file a complaint for criminal negligence. Finally, after the hue and cry has died down and news is no longer worthy of front pages the medical association stalwarts who led the agitation against the violence suddenly realize there has been a compromise between the two parties.
This results in no punishment to the perpetrators and hence no deterrence for next incidence of violence. If on providing proof of violence any complaint of alleged negligence by patient party could be declared void ab initio automatically this will act as a strong deterrent for future incidents of violence.
Having a Central law for prevention of violence against healthcare persons and institutions would also help but not as much as a change in the IPC to make such violence a cognizable offence with stringent punishment.
Steps that doctors should take Do not overreach. Modern medicine is changing rapidly.
The Importance of Healthy Doctor-Patient Relationships
Hence, it is inappropriate to attempt to treat and do procedures beyond the scope of one's training and facilities. This is fraught with allegations of negligence and consequently of violence. The cardinal principle to prevent violence against doctors in India would be: Remaining within one's capability and experience is important in today's litiginous environment.
Valid and informed consent is the second most important step in preventing violence. Despite the rush and low health literacy, consent should not be considered a formality. Detailed consent in the patients' own dialect and language with witnesses preferable is mandatory before any invasive procedure. Proper documentation of the patient's course in hospital may not prevent violence but is important once violence occurs and the police are called. The records are often seized by the police.
The doctor s later find it difficult to defend themselves because during the emergency they focused on saving the patient and not on maintaining proper records. Even in single- doctor clinics and nursing homes it is imperative to inculcate the habit of documenting everything or ask the nurse to document while the doctor is busy resuscitating the patient.
Improving communication skills will prevent doctors from facing violence in the long run. Even though medical practitioners in their forties and fifties may have cultivated their own methods to communicate with patients, it is imperative that they keep up with the times and train in communication skills from experts as part of their continuing medical education.
This should be mandatory for all doctors to practise medicine in India. Only by being aware that violence against doctors is a growing problem in India is it possible to be alert and vigilant. Doctors need to evaluate each situation for potential violence when they enter a room or begin to relate with a belligerent patient or relative. It is important to be vigilant throughout the encounter and not isolate oneself with a potentially violent person or group.
It is advisable to always try to keep an open path for exiting. Do not let the potentially violent person stand between you and the door.
Friends, staff members, colleagues should collect at the site of incident without being provocative. It is advisable to look for indicators of violent behaviour such as staring and eye contact, tone and volume of voice, anxiety, mumbling and pacing STAMP.
Nurses have felt that staring was used to intimidate them into prompter action—when they responded to this cue violence tended to be avoided. I believed in them. A person like Dr. Einhorn [his oncologist], that's someone to believe in, I thought, a person with the mind to develop an experimental treatment 20 years ago that now could save my life. I believed in the hard currency of his intelligence and his research. Beyond that, I had no idea where to draw the line between spiritual belief and science.
But I knew this much: I believed in belief, for its own shining sake. To believe in the face of utter hopelessness, every article of evidence to the contrary, to ignore apparent catastrophe--what other choice was there?
- Doctor–patient relationship
We do it every day, I realized. We are so much stronger than we imagine, and belief is one of the most valiant and long-lived human characteristics. To believe, when all along we humans know that nothing can cure the briefness of this life, that there is no remedy for our basic mortality, that is a form of bravery.
To continue believing in yourself, believing in the doctors, believing in the treatment, believing in whatever I chose to believe in, that was the most important thing, I decided. It had to be. Without belief, we would be left with nothing but an overwhelming doom, every single day. And it will beat you.