Doctors versus Patients By Dr. Ghazala Shaikh For info log on to www.healthlibrary.com

1. Satyamev jayte
 Hmaare desh ke doctors itne bimar kyun hain?
 Is our healthcare ….. sick?

2. Talk by Dr Ghazala Shaikh
At HELP Library
Ashish on 31st Dec 2014

3. A
medical officer explains an x-ray to the patient.
The doctor is providing medical
advice to this patient.
A medical doctor is performing a standard physical examination on his patient.

4. Ingredients of healthy relationship
mutual respect
knowledge,
trust,
shared values and perspectives ( about disease and life)
and time available

5. Aspects of relationship
Informed consent
Shared decision making
Physician superiority
Benefiting or pleasing
Transitional care
Other people present
Bedside manner

6. Informed Consent
"doctor always knows
best,“
Let me exercise my right to
choose

7. Shared Decision Making
Health advocacy messages such as this one encourage patients to talk with their doctors about their healthcare

8. Physician superiority
Knowledge is Power

9. Benefiting or pleasing
 The physician needs strategies for presenting
unfavorable treatment options or unwelcome
information in such a way that minimizes strain on the
doctor-patient relationship while benefiting the
patient's overall physical health and best interests.

10. Transitional Care
 Special strategies of integrated care may be required
where multiple health care providers are involved,
including horizontal integration (linking similar levels
of care, e.g. multiprofessional teams) and vertical
integration (linking different levels of care, e.g.
primary, secondary and tertiary care)

11. Other People Present
DOCTOR – PATIENT
Confidentiality

12. Bedside Manners
Vocal tones, body language, openness, presence, honesty,
and concealment of attitude

13. Developments in medical technology
have long been confined to procedural
or pharmaceutical advances, while
neglecting a most basic and essential
component of medicine: patient
information management.
John Doolittle

14. Patient’s Rights as CPA,1986
 Patients should be explained what treatments and
medicines are being prescribed to them, their risk and
side effects, if any. They have the right to ask questions
and clarify their doubts about the treatment.
 Patients have the right to know a doctor’s
qualification.
 Patients have the right to be handled with
consideration and due regard for their modesty when
being physically examined by the doctor.

15.  Patients have the right to maintain confidentiality
regarding their illness and can expect the same from
the doctor.
 Patients have the right to a second opinion if they are
doubtful about the medicines or treatment suggested.
 Patients have the right to know what a suggested
operation is for the possible risk involved. If he is
unconscious or unable to make the decision due to
other reasons, informed consent needs to be taken
from nearest relative.

16.  Patients have the right to get a copy of their medical
records and case papers on request from the doctor/
hospital.
 If the Patient needs to be transferred to another
hospital, he has the right to know the reason for this,
and also has the right to make their choice of which
hospital to go to, in consultation with the doctor.
 Patients have the right to get a detailed explanation of
the bills they are asked to pay.

17. Patient Advocacy
 Patient advocates acts as a guardians of patient’s
rights.
They may be
 Self Advocate
 Informal advocate
 Professional advocates

18. DOCTOR – PATIENT RELATIONSHIP
Wherever the art of medicine is loved, there is also
a love of humanity.
Hippocrate
Medicine is a science of uncertainty and an art of
probability.

19. Please Remember..
Wherever the art of medicine is loved, there is also
a love of humanity.
Hippocrate
Medicine is a science of uncertainty and an art of
probability.