Doctors Now Allowed to Refuse Treatment for Abusive Patients, Says National Medical Commission
In an effort to tackle violence against medical professionals, the National Medical Commission (NMC) has introduced new regulations allowing doctors to refuse treatment to abusive and violent patients or their relatives. The move aims to protect doctors while ensuring patients are not abandoned.
Under the professional conduct regulations issued by the NMC on August 2, doctors, known as Registered Medical Practitioners (RMPs), are now permitted to document and report abusive behavior from patients or their families. In such cases, they have the right to refuse treatment and must refer these patients to alternative healthcare facilities for further medical care.
These regulations also prohibit doctors from endorsing specific drug brands, medicines, or equipment, as well as any forms of advertisement relating to them. RMPs and their families are strictly forbidden from accepting gifts, travel facilities, cash or monetary grants, consultancy fees, honorariums, or entertainment from pharmaceutical companies, commercial healthcare establishments, medical device companies, or corporate hospitals. However, salaries and benefits received as employees are exempt from this regulation.
Furthermore, the regulations state that RMPs should not participate in any educational activities sponsored directly or indirectly by pharmaceutical companies or the allied health sector. This includes activities such as continuing professional development (CPD), seminars, workshops, symposia, and conferences.
The NMC regulations also emphasize the importance of providing patients with a reasonable estimation of the cost of surgery or treatment before proceeding. Additionally, consultation fees must be communicated to the patient prior to any examination or treatment. RMPs are permitted to refuse or discontinue treatment if the indicated fees are not paid, with the exception of government service or emergency situations. However, doctors must ensure that patients are not abandoned and appropriate care is provided.
The regulations clarify that the consumption of alcohol or other intoxicants, whether on or off-duty, which may impact professional practice, will be considered as misconduct. This ensures that doctors maintain a high standard of professionalism at all times.
Moreover, the NMC has introduced a clear definition of the term emergency for the first time in these regulations. It is now defined as a life and limb saving procedure. This clarification aims to provide a more precise understanding of emergency situations for both medical professionals and patients.
By implementing these regulations, the NMC seeks to foster a safe and respectful environment for doctors while strengthening the doctor-patient relationship. The protection of medical professionals from abusive behavior ultimately ensures the delivery of quality healthcare services to all patients.
As the new regulations come into effect, it is crucial for doctors and patients alike to be aware of their rights and responsibilities. Respecting the boundaries established by these regulations will contribute to a healthier and more harmonious healthcare system for all stakeholders involved.
