Gydytojo santykių su pacientu etiniai aspektai

Abstract

Ethical aspects of doctor-patient communication have always been and remain some of the major moral issues of high public development and awareness. The factors characterizing the patient's attitude to the doctor determine the equivalent communication between the patient and the physician, and physician’s awareness, human qualities and quality improvement is one of the priority health care challenges. Delivery of modern health care services must be performed at a level that would not be patient complaints about doctors, but they do not avoid "risky" patients. This paper analyzes the factors which have or may have an impact on doctor-patient relationships, presents recommendations on necessary factors or actions that need to be implemented in order to establish a mutually beneficial doctor-patient communication. Aim of the work: to evaluate doctors opinion regarding the doctors-patients communication peculiarity and ethical aspects of such communication in doctors relationships with patient. Methods of the research: the anonymous questionnaire survey of physicians was organised in Druskininkai hospital at 2011, on the specialized trainings organised by “Medical Association”. 2440 doctors of various specialties participated in the survey. The questionnaire data were processed and analyzed using the statistical data analysis package SPSS 17.0. Hypotheses about the independence of two signs were tested using the chi-square (χ2) test (97). Differences of indicators were considered statistically significant at p< 0.05. Results: majority of the respondents said that, in their opinion, patients were rarely dissatisfied with them, and that these respondents do not avoid risky (biased to complain) patients. The evaluation of the surveyed physicians’ opinion as to whether their dissatisfied patients often complain of their management, the vast majority said that patients never or rarely complain to their management, and these respondents said that they have never avoid risky (biased to complain) patients. Most respondents indicated that several times complaints of patients to their colleagues encouraged them to reflect, or give an impression that nevertheless, the respondent behaviour when dealing with a high-risk (biased to complain) patient has not changed. Conclusions: the majority of doctors surveyed indicated that they are not completely confident whether their managers, if necessary, will defend them from patients' complaints, but nevertheless, these doctors never avoid high-risk (biased to complain) patients. In summarising the psychological well-being of physicians in dealing with distrustful patients (in doctor's opinion) it was found that in most cases it was a hindrance to the physician’s work and caused them to be more careful and cautious, and only sometimes it did not bother them and they did not feel anything about it. The doctors’ feeling of guilt of inability to provide the patient with everything he wants (knowing that the patient is right) was rare, and doctors also rarely experienced anxiety.