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ETHICS
9.1. MEDICAL ETHICS-ATTACKS ON DOCTORS
Why in news?
Recently, various incidents were witnessed involving assault on doctors where five doctors were attacked in
Maharashtra. This issue raises several ethical concerns regarding our public healthcare system where blame
game is seen. The patients blame doctors and doctors blame the broken health system. This article analyse the
issues from both the perspectives
Issues from the point of view of doctors
Overstretched working hours: Doctors are clocking in even 36 hours of duty at a stretch which makes it
difficult for them to deal empathetically with anxious relatives
Lack of resources in hospitals: the blame of scarce resources are put on doctors which is not their fault.
Unrealistic expectation: of quick and complete improvement irrespective of illness in the patient.
Issues from the point of view of patients
Lack of empathy: The doctors need to work on doctor-patient relationships and show empathy while
communicating news of death or critical condition of patient.
No grievance redressal system: There should be an established system where patient can register their
protest. It will also help in avoiding targets on doctors.
Lack of services: patients reaching public hospitals are poor and meek and travel a lot to reach hospitals and
when they are told medicine or some facilities are not available, they would be agitated.
Public perception of doctors: as life givers has drastically changed with increasing privatization and
commercialization.
The attacks on doctors by relatives of patients points towards following ethical issues
Prestige of doctor: who gets assaulted in front of his patients when he goes back to work
Inhumane beating up of doctors: to the tune that one doctor on referring the patient to another hospital
owing to lack of facilities, was so brutally assaulted that he is on the verge of losing his vision
Negligence on the part of security in hospital administration in public hospitals.
Poor implementation of laws for doctor’s safety: Thus, no deterrent effect on relatives
Way forward
At the time of treatment, only few relatives may be allowed to accompany the patient but this would need
the recruitment of more supporting staff in hospitals as relatives of patients at times help in pushing
wheelchair, getting medicines, running around calling the relevant persons etc.
Security system should be strengthened so that backup personnel can reach hospital on time.
Establishing a grievance redressal mechanism.
The system of investigation should be strengthened and cases of assault should be efficiently taken up to
penalize the persons at fault.
A liaison officer may be appointed to maintain healthy relationship of hospital with the patient’s relatives.
Doctor patient ratio needs to be improved as these incidents are more in poor ratio states.