The line between fair healthcare services provision and clinical negligence

Doctor with PatientCurrently, the patients who have to seek medical help, are way more likely to face medical negligence and inattention, not to mention the attitude of the medical staff. Of course, this in no way contributes to productive treatment, and sometimes even harms the healing process, leading to deterioration of health of the patient (if not physically, then psychologically) or causing complications. And, if in relation to the lack of tact and ethical sensibilities is somehow possible to understand and justify surgery or intensive care, in other physicians such behavior is unacceptable. It oftentimes leads to the fact that in their reception rooms, outpatient clinics or hospitals ‘settles’ the ‘phenomenon of revolving doors’ – even those patients who are cured (not to mention the not cured), after some time again come to the same complaints. Naturally, unrelieved cause of the disease in conjunction with medications treatment (not psychotherapy) consequences that may lead to the fact that sooner or later the disease recurs or becomes aggravated, and the patient returns again. And it can last for years.

process of diagnosticsOf course, we are not talking about the etiology and pathogenesis of serious and/or incurable mental, genetic and other disorders (schizophrenia, diabetes, Down’s syndrome, Parkinson’s, Alzheimer’s, etc.). Primarily, we mean less significant diseases (if you can say so), such as hypertension, low back pain or ulcer. Certainly, you can understand the behaviour of certain physicians (especially those working in public health institutions) – recollect the recent well-planned strike of junior doctors in the UK or the almost chronic dissatisfaction among doctors in Canada with the healthcare policy, putting the personnel under extremely tough pressure. Sometimes they just do not have enough time to get to the real cause of the disease – by looking at the queues at the doctor’s offices, it is clear that reception of one patient takes an average of 5-10 minutes. Moreover, in some cases establishing the true cause of the disease is not required, for example, if the patient’s X-ray reveals deviated septum, surgery is required, it does not make sense to find out the circumstances under which it was obtained. Yes, and conducting psychotherapy sessions (in this case – the short-term psychotherapy) among conventional doctors (not psychiatrists and psychotherapists) is almost not practiced. The tiny details according to Burkley & Co, having a large staff of medical negligence solicitors, could have significantly changed the state of affairs around clinical negligence cases, where a sustainable growth tendency is currently observed.

At the same time, if the doctor has more time for the patient to listen to their patients more carefully and thus understand the true cause of the disease (that neurotic individuals often lies on the surface), a significantly higher effectiveness could have been achieved, and at least the psychological tension in the patient could have been eliminated. Though, probably, the approach to the patient to a greater extent the work of psychologists and psychotherapists – to conduct outreach and/or rational psychotherapy; when it is necessary – to reassure the patient (e.g. before some surgery), and ‘scare’ when it is required, for example, in case of alcoholic anosognosia when a drunk uncritically refers to a disease, considering himself healthy.

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