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Except in emergency situations in which a patient is incapable of making an informed decision, withholding information without the patient's knowledge or consent is ethically unacceptable.
Patients may not heed the guidance provided by their physicians for many reasons. Changes may be difficult for the patient, either because of other obligations, lack of commitment, interest, or understanding. Socio-economic conditions may mean treatments are unaffordable or living conditions are difficult.
In the briefest terms, a physician is required to provide general information about a proposed diagnosis or treatment and more personalized information about how the treatment might reasonably affect the particular patient.
If you need urgent medical attention, and a doctor refuses to treat you, you can pursue a medical malpractice suit against the physician and/or the establishment they work for. This is especially true for doctors in hospitals and emergency rooms.
Discuss and document the patient's understanding of the consequences of continued noncompliance. If you are not able to discuss the consequences with the patient in person, explain them in a letter. Describe the actions the patient needs to take, such as calling the office or obtaining a diagnostic study.
5 Tips for Treating Non-Compliant PatientsBe understanding. Put yourself in the patient's shoes and make every effort to be empathetic, thus recognizing the challenges they may experience when trying to understand your requests. ... Educate. ... Document everything. ... Set boundaries and enforce them. ... Avoid ultimatums.
Withholding medical information from patients without their knowledge or consent is ethically unacceptable. Physicians should encourage patients to specify their preferences regarding communication of their medical information, preferably before the information becomes available.
There are 4 components of informed consent including decision capacity, documentation of consent, disclosure, and competency.
Doctors are only required to make disclosures which are mandated by law but they do not need to disclose every possible risk or medical alternative. The general standard which is applied is that if a reasonable doctor would disclose the information, then a doctor is obligated to disclose the information.
If your patient refuses treatment or medication, your first responsibility is to make sure that he's been informed about the possible consequences of his decision in terms he can understand. If he doesn't speak or understand English well, arrange for a translator.
Here's how best to respond to a rude doctor:Take a deep breath and try and calm your emotions.Try not to take it personally.Explain yourself clearly.Use plain and simple language.Be as honest as possible.Avoid being combative or rude back.
Patients have the right to refuse referral without relieving their attending physicians of responsibility. To refer patients against their wishes and then withdraw from the patient's care constitutes abandonment.