1. DOCTOR PATIENTS RELATION IN CURRENT CONTEX. DR. N.K GROVER M.S, F.I.C.S, F.I.A.M.S, F.I.A.S. SENIOUR SURGEON – UROLOGIST HOD & MEDICAL DIRECTOR VINAYAK HOSPITAL, DERAWAL NAGER DELHI- 110009. PAST NATIONAL PRESIDENT IMA Member – CENTRAL CONSUMER PROTECTION COUNCIL

2. DOCTOR PATIENTS RELATION DOCTOR NEXT TO GOD FRIENDS PHILOSOPHER & GUIDE PROFESSIONAL SERVICE PROVIDER PATIENTS CONSUMER

3. DOCTOR PATIENTS RELATION “ SELF REGULATION ” “ CODE OF CONDUCT & ETHICS ” “ TRADITION OF SERVING THE SICK ” “ TRUST & FAITH ”

4. DOCTOR PATIENTS RELATION CAUSES OF DOWNSLIDE Detoriation of Social Values Materialistic approach to life Rising investment cost of medical equipment High expectations Awareness of “ Rights & Privileges” Media – Hype “ Selling News”

5. DOCTOR PATIENTS RELATION Land mark- Supreme Court judgment (1995) IMA Vs V.P.SHANTHA & others By justice - Kuldeep Singh S.C Aggarwal & J.J Hansaria “ Services rendered to patients by medical practitioner …… would fall within ambit of services as defined in Section 2 (i) (o) of consumer Protection Act.”

6. DOCTOR PATIENTS RELATION CONSUMER PROTECTION ( AMENDMENT) BILL 2001 passed by Parliament in 2002 - Fee for complaints / appeals - Increase in pecuniary limits - Improved provision / procedures.

7. DOCTOR PATIENTS RELATION PATIENTS CHARTER (CCPC WORKING GP- 1994) Right to Health Care & Human treatment Right to choice of care Right to Acceptable safety Right to adequate information / Records Right to give Consent / Refuse. Continued next.

8. DOCTOR PATIENTS RELATION Right to Confidentiality Redressal of Grievances Right to participate & Representation Right to Health Education. Right to Healthy Environment

9. DOCTOR PATIENTS RELATION Citizen Charter for Hospitals (i) “ Access to all facilities Including Emergency irrespective of sex, religion caste or economic status” (ii) To display- Facilities & Charges, (iii) Institutional complaint, & redressal system (iv) To provide information / records to patients / authorized person. (v) To display Duty roster of Doctors/ Specialist on call.

10. PATIENTS RESPONSIBILITIES (i) “ Understanding his Rights & exercise those with responsibility & reasonability” (ii) “To understand available mode/ alternative of treatment,Risk Vs benefits, Success rate, Costs and give CONSENT and accept all consequences of own informal decision” (iii) To established ‘Stable Relationship’ with doctor and follow truthfully all advises and treatments given. DOCTOR PATIENTS RELATIONS Continued next

11. DOCTOR PATIENTS RELATION (iv) To take immunisation, preventive inquiries, diet, follow-up,consultation etc in his own interest. (v) To refrain from unhealthy consumption, addictive substances, promiscuous sexual or others reckless activities & contamination of environment.

12. DOCTOR PATIENTS RELATIONS Humane Relationship which can't be cover by legal contract only. Strengthen the bonds Nurture faith & trust Humanistic and Holistic approach. Need of the hour.

13. DOCTOR PATIENTS RELATION ‘Partnership and collaborative efforts’ to achieve patients cooperation, guide & help him to take decision. AND Efforts to provide best option, attention, proficiency & optional utilization of institutional facilities. Lets us not copy western pattern blindly. Defensive Practice Escalation of cost Poor patients likely to suffer. Let us not damage the Fragile health care system,Doctors – Patients relationship and demoralise medical professional

14. DOCTOR PATIENTS RELATION “ Take heed of what happens in the United States. Medical malpractice cases are very worrying especially as juries who have sympathies for the patient and none for the doctor who is insured try them. The damages (that is amounts of compensation) are colossal. The doctors insure themselves and premiums are very high and these have to be passed on in fees to the patient. Experienced practitioners are known to have refused to treat serious/complicated cases for fear of being accused of negligence. Young men are even deterred from entering to profession because of the risks involved. In the interest of all, we must avoid such consequences in England. Not only must we avoid excessive damage.we must say, and say firmly. that in a professional man, an error of judgment is not negligence.” ( Lord Denning White House Vs. Jordan- 1981.)

15. DOCTOR PATIENTS RELATION Let us become - “ PATIENTS FRIENDLY” “ WIN HIS CONFIDENCE” “ GIVE TENDER LOVING CARE” “ RESPECT PATIENTS RIGHTS & GIVE DOCTOR HIS DIGNITY”

16. THANK YOU