Shinde Surekha S, Parak S C, Bhati Sushil, Sahay Nishant, Battu Gurpreet Singh
Department of Anaesthesiology, BJGMC, Pune, Maharashtra, India.
L V Prasad Eye Institute, Hyderabad, Telangana, India.
Indian J Anaesth. 2021 Jan;65(1):54-60. doi: 10.4103/ija.IJA_1476_20. Epub 2021 Jan 20.
Extant legislation, professional and societal ethics provide fundamental guidance to professionals in practising their profession. Legal rules are enforced by courts of law whereas rules of ethics are enforced by professional bodies like the Medical Council of India (now National Medical Commission). In this article, we explore some of the principal guidelines that regulate medical ethics. The role of informed written consent is vital in safeguarding the patient as well the doctor's interests; the approach for getting consent will differ depending on patient and procedure. Medical records document every aspect of the patient's history and details of the procedure and are the only means to settle disputes as they provide legitimate, real-time and accurate details of events that have occurred in the past. Although not explicitly listed as a 'service' in the Consumer Protection Act (CPA), healthcare-related complaints can be filed under the Consumer court and the precedent has been established that it is a service. CPA of 2019 provides detailed regulations for performing scrutiny of cases, fines that can be levied, the directives for seeking compensation, etc., Every anaesthesiologist must have some knowledge of law and ethics in order to protect himself/herself from avoidable litigation or disciplinary action.
现行立法、专业及社会伦理为专业人士执业提供了基本指导。法律规则由法院执行,而伦理规则由诸如印度医学委员会(现为国家医学委员会)等专业机构执行。在本文中,我们探讨一些规范医学伦理的主要准则。知情书面同意在保护患者以及医生利益方面至关重要;获取同意的方式会因患者和程序而异。病历记录患者病史的各个方面以及手术细节,并且是解决纠纷的唯一手段,因为它们提供了过去发生事件的合法、实时且准确的细节。尽管在《消费者保护法》(CPA)中未明确列为“服务”,但与医疗保健相关的投诉可在消费者法庭提起,并且已确立其属于一项服务的先例。2019年的《消费者保护法》为案件审查、可征收的罚款、寻求赔偿的指令等提供了详细规定。每位麻醉医生都必须具备一定的法律和伦理知识,以保护自己免受可避免的诉讼或纪律处分。