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Protection for doctors

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  • 1. Do Doctors NeedPROTECTION? JDA
  • 2. IS THIS OUR FATE?? POLITICIANS HOOLIGANS LAW MEDIA SO CALLED SOCIALISTS DOCTORS’ COMMUNITY PATIENTS
  • 3. • What are the triggers to such violence and what are the underlying conditions that give rise to these patient-provider conflicts?• What are the structural and organizational factors that contribute to these conditions?• What steps have been taken to reduce the current hostility towards the public health delivery system and• what needs to be done?
  • 4. Who is responsible?• Doctors?• Para medicos/Nurses?• Hospital administration?• Patients attenders?• Limited resources?• Law?
  • 5. Triggers• Sudden death.• Denial of admission.• Delay in providing care.• Absence of equipments and drugs.• Negligence by staff.• Junior doctors communicating about death to patient.• Limited understanding about disease.
  • 6. Causes• Shortage of drugs and other supplies.• Malfunctioning of equipments.• Shortage of personnel.• Resident doctors: Working and living condition, meager stipend.
  • 7. STRATEGY• Proper training for improving communication with patients and their relatives.• Role of senior staff• Role of Liaison officer.• Increase number of staff.• Planned duty roaster and hours.• Establish functioning Public Relation Office (PRO).• Shortages and planning issues to be addressed.• LAW
  • 8. INCIDENTS A WELL KNOWN POLITICIAN WAS TREATED & DIED IN A BIG HOSPITAL IN MAHARASHTRA
  • 9. INCIDENTS• POLITICAL PARTY activists reduced to rubble the 200-bed Sunitidevi Singhania Hospital in Thane• A POPULAR LEADER treated for a fractured leg expired
  • 10. INCIDENTS• In three hours of mayhem, they torched the building and smashed ambulances, medical equipments and everything in sight. Patients, doctors and nurses were sent scurrying for cover.• A six-month-old child with a respiratory problem and a 65-year-old man suffering from a kidney ailment died after their life-support machines were wrecked.
  • 11. INCIDENTS-PROTESTS• Bihar hospital doctors on three-day token strike, march 04, 2012 against the alleged assault on a civil surgeon• Tamil nadu doctors strike work over killing of a doctor, january 4, 2012 (the doctors demand punishment of culprit at the earliest and police protection to all hospitals.)• A pg student attacked and furniture broken in icu in medical college hospital, Thiruvananthpuram in sept 2011. Assaulter arrested. The indian medical association, thiruvananthapuram, observed september 5 as a black day in protest against the assault on doctors
  • 12. INCIDENTS-PROTEST• Mehsana-june 2011-assault on a doctor-200 doctors on strike• Unjha-assault on a private practitioner• Nagpur-march 1st 2012-stones pelted on a private practitioner• Similar incidents in chennai• In Patna, the junior doctors of PMCH had gone on a lightning strike on Tuesday night after supporters of a slain RJD leader Pappu Khan clashed with them over alleged delay in conducting post-mortem
  • 13. • Gaya-dec 30 2011-500 private practitioners on strike after a series of assaults• Calcutta med coll-nov 2011-strike by doctors• Jabalpur,MP,-march 2008-strike by IMA jabalpur unit• Safdarjang hospital, ND-June 2008
  • 14. IMPLIMENTATION?? AWARENESS???• Maharashtra doctors on strike, demand security, march 25, 2011• Sion hospital , Mumbai–jan 2011-200 doctors were on strike-BMC employed private security guards• July 2011- Bhabha hospital, Mumbai-assault on 2 paediatricians in ICU
  • 15. EXISTING LAWS
  • 16. LANDMARK• Thousands of Doctors went on strike in Government Hospitals across Andhra Pradesh, from 2 December to 18 December 2007.• OPD services were hit as doctors went on strike after a legislator of a political party allegedly manhandled medical staffs at Hyderabads Niloufer childrens hospital.• Doctors demanded that a non-bailable case be registered against the person• Doctors wanted the Government to pass an ordinance to ensure security at Government Hospitals.
  • 17. PREVENTION OF VIOLENCE AND DAMAGE TO PROPERTY ACT 2008• (a) Registered Medical Practitioners, working in Medicare Institutions• (including those having provisional Registration;• (b) Registered nurse;• (c) Medical students;• (d) Nursing students;• (e) Practical workers employed and working in Medicare Service Institutions.
  • 18. • Any act of violence against Medicare service person or damage to property in a Medicare service Institution is prohibited.• Any Offender who commits any act in contravention, shall be punished with imprisonment for a period of Three years and with fine, which may extend to fifty thousand rupees.• Any offence committed under Section , shall be cognizable
  • 19. • In addition to the punishment specified in section the offender recovery of loss for the damage Caused to the property shall be liable to a penalty of twice the amount of purchase price of medical equipment damaged and loss caused to the property as determined by the Court trying the offender.
  • 20. • If the offender has not paid the penal amount under sub-section (1),the said sum shall be recovered under the provisions of the Andhra Pradesh Recovery Act, 1864 as if it were an arrears of land revenue due from him.• The provisions of this Ordinance shall be in addition to and not in derogation of the provisions of any other law, for the time begin in force.
  • 21. IMPACT TREND 25 20No of incidents 15 10 5 0 2007 2008 2009 2010 2011 Year Stats from IMA
  • 22. SIMILAR ACTS THAT FOLLOWED• Delhi medicare service personnel and medicare institutions-Act 2008• Prevention of violence and damage to property act 2008-Haryana• Rajasthan medicare service personnel and medicare service institutions-prevention of violence act 2008
  • 23. • Prevention of violence and damage to prope rty Act 2009-orissa• Prevention of violence and damage to property act 2009-maharashtra• Prevention of violence and damage to property act 2009-chattisgarh• Prevention of violence and damage to property act 2008-Tamilnadu• Karnataka prevention of violence and damage act-2009
  • 24. IN PROCESSKerala healthcare service persons and heaalthcare service institutions{prevention of violence and damage to property}bill,2011Similar Scenario in bihar..clinical establishment act 2007 exists but it doesn’t cover the protection of doctors-matter is in process
  • 25. Is it justifiable to respond to a SLAP or Do we have to wait till one of us gets KILLED???