Ethics case studies – relations with the medicine

Ethics case studies – relations with the medicine

Many studies represent ethical dilemma cases. It’s so-called conflict issues in modern medicine. These problems raise ethical questions. Effect sick person rights, the moral side of medical practice, new diagnosis/treatment technologies, the relationship between doctors and patients, the attitude of physicians to certain categories of the population.

Moral dilemma affecting human rights

Exist a discussion about the human right to choose a doctor at will. In many countries, patients don’t choose the services of a particular doctor or medical institutions freely. The choice of specialists at the request of the sick person can sometimes be limited. Even with the availability of private practice in the health care system.

The opposite study about ethical dilemma case exists regarding the physician right to choose or to deny professional assistance to some patients. Doctors in many countries have permission to stop treatment if a sick person ignores the recommendations, does not accept the prescribed treatment. Appear, the patients which treatment is based on the personal doctor interests. In particular, on his financial interest.

A lot of medical ethics case studies are about professional relations between doctors, nurses, administration. Does the physician have permission to treat the patient at his discretion, ignoring the accepted recommendations on such treatment in the institution in which he works?

In hospitals, there are no established boundaries in the medical practitioner working. Some offer strict conditions; the doctor has right to go beyond acceptable diagnosis methods, in other institutions has the freedom to choose. The same ethical dilemma case study exists with non-traditional medicine. The physician should be well aware of the range of choice of diagnostic/treatment methods available in a particular institution.

The moral dilemmas decision-making regarding the diagnosis/treatment of a patient in some complex cases requires collegiality, discussion of the problem with several specialists. Any arising conflicts should be solved in favor of the patient. The doctor has the right to challenge the colleague unprofessional behavior, actions. The conflict analysis should occur without the patient presented at the level of an open/closed meeting.

The post-Soviet health care resources are a typical ethics case study example of such issue. It suffers from a lack of quality collegiality. Tactics discussion of conducting complex clinical cases by a group of specialists. The treatment decision is taken by the attending physician, but his competence may not be enough. In many countries, daily or weekly meetings are practiced. They discussed complex clinical cases, as well as data from clinical studies with the prospect of using this data to improve the clinical prognosis and ethics professionalism.

A serious ethical dilemma case study is the constant patient intimidation concerning his illness condition, the manipulation of his actions – for selfish purposes. Exist two ways of development:

  • for the imposition of fears, a doctor may lose a license or the right to work;
  • similar actions by doctors remain unpunished.

Ethical issues during the treatment

With the advent of new diagnosis/treatment methods, there are many ethical problems regarding the medicine commercialization,  the use of expensive methods. Many medical ethics case studies show proper of corruption, the high-level appointment of invasive procedures, expensive types of diagnosis and treatment in developing countries where law poorly controls the private medical practice. The use of these methods has no rational justification. Except for the commercial interest of doctors or clinical institutions.

Medical institutions in former Soviet republics demonstrate the high level of laparoscopy in gynecologically. Invasive procedures require high doctor qualification, special conditions for conduct; it is more expensive than non-invasive ones.

The patients choice is base on the priority of receiving income from a doctor. The case study approach dominates in the gastro-endoscopy, cystoscopy, colonoscopy and other invasive procedures. Extensive use of plasmapheresis in post-Soviet medical institutions is unfounded. Here, the commercial approach to patient selection prevails, and not the scientific approach and the “do no harm” principle.

Case study samples