Subject : Administration and Ethical Issues in Health Care Sector

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1st SET OF ASSIGNMENTS
Post Graduate Diploma in Medico Legal Systems
(Applicable for 2013-14 batch)

Subject : Administration and Ethical Issues in Health Care Sector
Total : 100 Marks

Q. 1) Answer the following questions

Q. a. What information is needed by the patients/ relations?
Answer:The doctor–patient relationship is central to the practice of healthcare and is essential for the delivery of high-quality health care in the diagnosis and treatment of disease. The doctor–patient relationship forms one of the foundations of contemporary medical ethics. Most universities teach students from the beginning, even before they set foot in hospitals, to maintain a professional rapport with patients, uphold patients’ dignity, and respect their privacy.
A patient must have confidence in the competence of their physician and must feel that they can confide in him or her. For most physicians,

Q. b. Circumstances often information may be withheld
Answer: When physicians communicate with patients, being honest is an important way to foster trust and show respect for the patient. Patients place a great deal of trust in their physician, and may feel that trust is misplaced if they discover or perceive lack of honesty and candor by the physician. Yet there are situations in which the truth can be disclosed in too brutal a fashion, or may have a terrible impact on the occasional patient.Contrary to what many physicians have thought in the past, a number of studies have demonstrated that patients do want their physicians to tell them the truth about diagnosis, prognosis, and therapy. For instance, 90% of


Q. 2) Discuss “Documentation and medical record keeping with specialreference to legal aspects of medical records. 30
Answer:The terms medical record, health record, and medical chart are used somewhat interchangeably to describe the systematic documentation of a single patient's medical history and care across time within one particular health care provider's jurisdiction. The medical record includes a variety of types of "notes" entered over time by health care professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, x-rays, reports, etc. The maintenance of complete and


Q. 3) Write short notes on any four 40
Q. a. Confidentiality
Answer:Confidentiality is one of the core duties of medical practice. It requires health care providers to keep a patient’s personal health information private unless consent to release the information is provided by the patient.
Why is confidentiality important?
Patients routinely share personal information

Q. b. Crosspathy Practice
Q. c. Unethical Conduct
Answer:In the Pennsylvania study, witnessing unethical behavior was associated with a greater likelihood of students acting improperly themselves. In a survey of 303 students across all 4 years of medical education at a single medical school, about a third of the total sample said that derogatory comments made by physicians were “sometimes” or “often” appropriate. The more senior the students, the more likely they were to believe that


Q. d. Advertisement & Medical Profession
Answer: If an educated, intelligent, hardworking demographic is your target market, it may pay for you to advertise to the medical profession. Of course, whether it succeeds for you depends heavily on your product and selling strategy. You may also find that the medical field encompasses a broad variety of clinicians ranging widely in income levels and perspectives. While many clinicians including doctors and pharmacists are very highly paid, medicine has its lower-income staff, such as licensed practical nurses and phlebotomists. Your advertising success will depend largely on your goals and strategy.
Education: Physicians, pharmacists, psychologists

Q. e. Valid Consent
Answer:Valid consent is much wider than simply providing information, and it comprises a number of considerations, the most significant of which are briefly summarized below.
·         First you must determine that your patient has capacity to consent to treatment. ‘Capacity’ means the ability to use and understand information to make a decision.
·         Even when you apply the 'capacity' test and you consider the patient isn’t capable of consent then you may still be able to treat the patient provided that you act with their best interests in mind. If they are under 16, you will either

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