Category: Research Articles
Practising ethically in a high-tech speciality
In India we feel that the system of allopathic medicine is too expensive for most of the population. In this context, the world of high-tech cardiology is a white elephant. The problem is that we do not have a better alternative. None of the prevailing local systems of medicine in India has a mec...
Iatrogenic error and truth telling
At the core of the doctor-patient relationship must lie a feeling of trust between the two. If a patient does not trust his/her physician, then the physician's effectiveness is greatly compromised. Patients must know that their physicians have their best interests in mind and are telling the trut...
Privatisation of health care: new ethical dilemmas
Increasing economic liberalisation and privatisation have affected health care as much as they have affected many other social and administrative systems, perhaps even more so. Though the changes are global, in India, the shift seems to have happened overnight, and public health services have bee...
HIV and confidentiality in India
A review of literature in the Indian, database provides only a few anecdotal reports on the questions of informing the spouse of an HIV positive person, the role of blood banks and confidentiality in the workplace, with no comprehensive studies on the subject. One approach to the question could b...
Health legislation and its impact
There is an abundance of laws to regulate the medical profession, the pharmaceutical industry, arid otherwise protect people's welfare. S G Ka bra comments on their implementation
Disclosure of confidential medical information
Disclosure of information gained by a doctor during examination and interrogation of the patient or after laboratory tests is a tricky matter. Giving information to a patient is not normally a problem; giving information to relatives, or an unrelated third party is almost always problematic.
The great divide: ‘Private’ versus ‘general’ patients
Working in a hospital where patients are dichotomised into "general" or non-paying and "private" or paying patients brings up some interesting questions and has stimulated my thoughts on this issue. Most hospitals in India belong exclusively to either the private or public sector. Such a stark co...
Managed care: the takeover of medicine by commercial…
The economic basis of health care is undergoing revolutionary change. The US is progressively converting from a system based on fee for service to a system based on so-called managed care. As is often true, changes in basic economic approaches usually result in changes in medical practice as well...
Medical ethics: relationships between doctors
Over the four-and-a- half-year span of medical training, students are extensively grilled on how to diagnose diseases and treat patients. The rules of conduct, which should guide his behaviour when interacting with his own professional colleagues, is hardly ever touched upon in the medical curric...
Biotechnology and medicine: ethical concerns
In 1903 the Wright brothers flew for the first time in a machine heavier than air. They soared 30 metres above land for 12 seconds. No one would have imagined that this technology would one day lead to the manufacture of aircraft which would cross the sound barrier and transport hundreds of peopl...
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