Refusal of care and the non-compliance with treatment by patients



Refusal of care and the non-compliance with treatment by patients

Introduction

Health care in the United States remains different as compared to other developed nations. The United States takes a different direction by making a medical welfare system for the poor and the elderly and leaving the rest of the Health care system to supporting themselves. It spends approximately 35 billion per annum to provide medical care with uninsured residents. Another important fact is that around 41 million residents of United States, who lack health insurance, cost 130 billion per annum in lost productivity (Tebbi, 2008). This is causing a huge problem in the United States and changes can be made but it is up to the Government to make these changes. Health care economics and the service delivery system present many challenges for the consumer and practitioner alike, despite the availability of exceptional medical care. It has an inefficient and expensive health care system, compared with other developed countries, with poor outcomes and many citizens who are denied access. The purpose of this paper is to evaluate current issue in health care.

Discussion

Refusal of care and the non-compliance with treatment by patient's cause number of ethical issues and practical dilemmas in health care. It is fact that patients have the rights and informed refusal is the other side of informed consent. Refusal care experienced by a patient is most often very negatively by the caregiver. It expresses a thwarted face of illness, sometimes death. It reveals the impotence of the caregiver and forced him to leave his usual skill - particularly technical - to question the limits of his practice (Manne, 2003). It reveals the difficulties of the doctor-patient relationship, which often add relationships with peers and other caregivers.

Reason

The causes behind non compliance and refusal of patients include fear of loosing parental role, physical discomfort, and poor communication regarding treatment regimen and diagnosis, uncertainty and misunderstanding about the benefits of medication and inadequate information on illness on general (Lansky, 2008).

Unjustified refusal of medical assistance

When you receive complaints about unjustified refusal in the direction of hospitalization, hospital treatment, in providing emergency, outpatient, specialized medical care to the quality of care assessment should determine (Bearison, 2004):

Whether the reasons for refusal were unreasonable;

caused by a refusal to injury the patient;

Whether there is a causal connection between the denial of relief and injury to the patient's health.

Low level of quality of care without causing harm to the patient's health

If the examination of quality of care revealed a low level of health care quality or defective in providing it does not cause harm to the patient, discrepancy between the quality and quantity of services to established standards, then the justification for compensation for harm caused to life and health, does not arise. In the presence of non-pecuniary damage issue of his compensation may be decided in court. If the deficiencies of medical services, a member of the territorial program of compulsory medical insurance, can be eliminated by ...