ETHICS IN MEDICINE DOCTOR-PATIENT RELATIONSHIP CONSUMER PROTECTION ACT Presentation by DR.VIOLET (de Sa) PINTO LECTURER,DEPARTMENT OF P.S.M.

OBJECTIVES At the end of the session the student shall have the knowledge of Doctor – patient relationship: components, role of communication Doctor – patient relationship: components, role of communication Ethics : definition, role of ethics in medicine, Act Ethics : definition, role of ethics in medicine, Act Consumer Protection Act : coverage, rights, implementation. Consumer Protection Act : coverage, rights, implementation.

DOCTOR-PATIENT RELATIONSHIP

FACTORS FOR DOCTOR PLANE OF RELATION- SHIP FACTORS FOR PATIENT Education Professional competence Disease- Spec,diag,anxie& med.manag. ExperienceCommunication Planes – E,C,I Confession,sec- recy,morality FacilitiesEthical Ignorance,mis- belief Co-ordination Social friend Participation,consistency Advisor Leader

ETHICS IN MEDICINE

ETHICS The discipline dealing with what is good and bad and with moral duty and obligations A set of moral principles A set of moral principles The principles of conduct guiding an individual or a group The principles of conduct guiding an individual or a group A guiding philosophy A guiding philosophy A consciousness of moral importance A consciousness of moral importance

THE INDIAN MEDICAL COUNCIL ACT 1956 (PROFESSIONAL CONDUCT & ETHICS) & REGULATIONS, 2002

CHAPTERS DESCRIBED in ACT Code of medical ethics Code of medical ethics Duties of a physician Duties of a physician * to their patients * in consultation * to the public and to paramedical profession Responsibilities to each other Responsibilities to each other Unethical acts & Misconducts Unethical acts & Misconducts

CODE OF MEDICAL ETHICS 1. Qualified in modern system of medicine only. 2. Update knowledge and skills, CME 3. Maintain medical records, medical certificate register 4. Display details 5. Observance of sanitary laws and regulations

DUTIES OF A PHYSICIAN * TO THEIR PATIENTS In case of emergency treat or refer to appropriate physician In case of emergency treat or refer to appropriate physician Information revealed in confidence to be kept secret Information revealed in confidence to be kept secret Never exaggerate or minimize the gravity of a situation Never exaggerate or minimize the gravity of a situation

DUTIES OF A PHYSICIAN * IN CONSULTATION Consultation only when justifiable, interest of patient Consultation only when justifiable, interest of patient Laboratory tests to be carried out judiciously Laboratory tests to be carried out judiciously Punctuality Punctuality Never criticize referring physician Never criticize referring physician Communicate opinion in writing to referring physician Communicate opinion in writing to referring physician

DUTIES OF A PHYSICIAN * TO THE PUBLIC AND TO PARAMEDICAL PROFESSION Enlighten public regarding quarantine regulations and measures for prevention of epidemic Enlighten public regarding quarantine regulations and measures for prevention of epidemic Notify concerned authorities in accordance with laws, regulation and rules Notify concerned authorities in accordance with laws, regulation and rules Recognize and promote practice of different paramedical services Recognize and promote practice of different paramedical services

RESPONSIBILITIES TO EACH OTHER Render service to fellow physicians and their immediate family dependents Render service to fellow physicians and their immediate family dependents No physician or consultant shall criticize referring physician No physician or consultant shall criticize referring physician Consideration for reputation of absent physician, while treating patient Consideration for reputation of absent physician, while treating patient

UNETHICAL ACTS & MISCONDUCTS Advertisement Advertisement Association Association Alcoholism Alcoholism Abortion Abortion Human rights violation Human rights violation False certification False certification Breach of confidence Breach of confidence Not taking appropriate consent of patient Not taking appropriate consent of patient Falsification of degrees Falsification of degrees Violation of guidelines while conducting research Violation of guidelines while conducting research Found absent from position at place of work Found absent from position at place of work

CONSUMER PROTECTION ACT,1986

COMPONENTS General law General law Decision Decision File complaint File complaint Monetary limits Monetary limits Rights of the patient Rights of the patient

General law: General law: Member of a profession is required to show a standard of care which a person of that profession is expected to possess. Decision: Decision: Within 6 months No court fee Patient can plead his own case Even ESI hospitals under ambit of CPA

File complaint: File complaint: Consumer court All details of case Expert opinion or certificate from doctor of concerned specialty ( stating complaint is prima-facie true & needs further investigation) The compensation demanded

Monetary limits: Monetary limits: District commission court : upto 20 lacs State commission: 20 lacs to 1 crore National commission: >1 crore Rights of the patient : Rights of the patient : Right to information Right to safety Right to confidentiality and privacy Right to prompt treatment in emergency Right to get copies of medical records Right to informed consent Right to refusal to participate in human experiments and research