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Private medical consultation


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WITH the failure of the public healthcare system, the need for private consultation and treatment is on the increase. This part of medical care has been seriously ignored both by professional bodies and by regulatory health authorities in terms of quality of purchased services and protection of patient rights.

The business of private consultation is flourishing in the country. There are no official or ethical checks as no standard operation procedures have ever been laid down.

Apart from medical ethics mentioned in books, it is essential to protect the rights of clients, i.e. private patients.

Most of them are poor coming from rural areas and are somehow forced by circumstances to seek expensive advice with costly investigations and shopperful of drugs. Some do it for the sake of admission in public hospital or to get favours from messiahs.

The following are some of the few salient points for consideration of all concerned:

Consultation fee should be specified according to qualification and clinical experience of the consultant.

The minimum time for consultation, including the patient’s right to express and explain his/her grievances.

Self limit on clinic timings and number of patients to be examined in a day.

Virtually multiple scattered clinics, late-night sittings and unchecked number of clients are all detrimental to the patient’s rights and provide poor quality of clinical services.

The number of patient visits permissible with full fee for brief reporting and subsequent follow-up calls.

Proper history taking and thorough physical examination of a patient by the consultant himself.

Proper patient record-keeping or noting sign symptoms on prescription for follow-up visits.

Patient satisfaction through counseling and guidance and facilitation when referring to others.

Telephonic accessibility of consultant for guidance when required in urgency.

Avoiding unnecessary or high tech investigations from labs of choice.

Prescription should be rational, affordable and not of choosy manufacturer.

DR ANWAAR A. BUGVI Public Health Physician Lahore

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Comments (3) Closed

Husain Jan Apr 10, 2013 05:25am
All the suggestions are good and worth instant implementation. However, in view of health department's indifference and the ever increasing greed of the consultants there is no hope in this respect. One more point: Some consultants and surgeons monthly income is believed to run in millions, but they pay only a minimal amount as income tax. The ever active FBR seems to be turning blind eye towards this factor. Guess why ?
Khan Apr 10, 2013 08:00am
Dr. Bugvi was an intelligent, honest and hard working officer during the period he served. The need of the hour is that he should be taken as a consultant by the Government for the betterment of the people health. A student from Para Medical School, Bahawalpur
Asad Apr 10, 2013 11:02am
I totally agree with you doc, but before embarking on patient's rights, we need to address basic citizen/human rights in Pakistan.