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Aimed competency:
Conducting ethical justification in every professional activities as a
medical doctor.
Subjects:
Medical dispute
Lecture objectives:
1. Undertanding the meaning, dynamics, prevention and
management of medical dispute.
2. Undertanding the meaning, dynamics, prevention and
management of eticolegal conflict
Community Q
Medical problems U
A
L
Trust I
Appreciation T
Specific privilege Y
Social contract
C
A
Doctor R
Medical competentcy E
MEDICAL CARE
Therapeutic contract
Doctor
Patient
Mutual agreement
Therapeutic contract
A social contract specific characteristics
THERAPEUTIC CONTRACT
Specific characteristics
Formality: implicit, convention
Object: medical problems
Aims: providers: effort to cure, not cure
patients: cure
Responsibility: providers: quality care
patients: abiding and support the
process
Condition: mutual believe
Therapeutict contract
(between provider, a/o doctor and patient)
Dissatisfaction
medical dispute
MEDICAL DISPUTE
Demand
Contract
Outcome
Dissatisfied
Complaint
Allegation
Auction
MEDICAL ALLEGATION
Dissatisfaction to the outcome
2. Adverse effects
3. Missed conduct
4. Intentional
PROVED MEDICAL AUCTION
Malpractice
Therapeutic contract
Quality care
DISCIPLINED CARE
Administrative discipline
Clinical discipline
Ethical discipline
= MEDICAL DISCIPLINE
Standard =
reference to disciplined care
MANAGEMENT OF MEDICAL ALLEGATION
Provider
Institution
Ethical Committee
Common Court
MANAGEMENT OF MEDICAL ALLEGATION
Provider = Doctor
Review the process
Discuss the complaint
* severity
* MAE
* miss conduct
* intentional mal behave
incongruence perception?
mutual agreement
Civil Court:
Miss Conduct Compensation
Criminal court:
Breaking specific laws/ regulation
Medical Dispute - Prevention
Discipline care
Honorable care
Understanding the dynamics of the dispute
ongoing preventive action.
Building up conducive doctor patient
relationship: attentive empathic care through
better communication skill.
Honest and responsible. Admitting the
wrong doing.
HONORABLE CARE
Respecting mankind
Sifat Ketuhanan power of the almighty
Kemurnian niat pure intention
Keluhuran budi - wisdom
Kerendahan hati - humbleness
Kesungguhan kerja hard working
Integritas ilmiah dan sosial Scientific
and social integrity
Kesejawatan peer spirit
ALTRUISM
Therapeutict contract
(provider and the patient)
Provider is a team within a system
eticolegal conflict
ETICOLEGAL CONFLICT
Sophistication of medical technology
Teamwork approach through a system
different health / medical professionals
in rendering medical care
conflict
Source of conflict:
Autonomy
Authority
Professional pride
Other interest
Character: Personal and professional behavior
ETICOLEGAL CONFLICT
Management
Provider
Institution
Ethical Committee
MKEK
Other health prof. Organization