You Are Here » Berita

\'Doctor, Are You Telling Me the Truth?\' Exclusive Ethics Survey Results

From Medscape Medical Ethics
'Doctor, Are You Telling Me the Truth?' Exclusive Ethics Survey Results
Shelly M. Reese
"Honesty is the best policy" and "the patient always comes first."
As absolute and correct as those aphorisms may be, they can be hard for doctors to apply in the complex world of modern medicine.
A recent Medscape medical ethics survey of over 10,000 physicians found that when it comes to patient treatment, a significant number of physicians struggle when it comes to topics relating to honest, straight-forward communication, and even pain management. Physicians from a broad range of specialties answered 3 questions pertaining to patient treatment:
-     Would you ever hide information from a patient about a terminal or preterminal diagnosis, because you believe that it will bolster their spirit or attitude?
-      Would you ever prescribe a treatment that's a placebo, simply because the patient wanted treatment?
-      Would you ever undertreat a patient's pain, because of a fear of repercussions or because you are concerned that a patient -- even a terminal patient -- might become addicted?
Open Communication Is Often Difficult
When it comes to delivering bad news, 59.8% of physicians indicate they "tell it exactly as I see it," while 14.6% indicate that they soften the news and "give hope even if there is little chance." Two percent indicate that unless a patient is going to die imminently, they don't tell him or her how bad the situation is and nearly one quarter (23.8%) say "it depends."
"The kind of compassion that brings people into medicine is the type of compassion that is needed for delivering bad news," says Kenneth Goodman, PhD, Director of the Bioethics Program at the University of Miami and author of Ethics and Evidence-Based Medicine: Fallibility and Responsibility in Clinical Medicine. But that compassion should never compromise the truth, he cautions.
Many of the physicians surveyed augmented their responses noting that, while they are honest, they try hard to deliver bad news in the most gentle, humane, and supportive way possible. That's exactly what patients should expect from their doctors, Goodman advises. But in "softening" the truth, he believes that doctors don't need to deviate from it.
"If there is something positive you can say, by all means say it. But only tell the truth: 'I will be there with you. I will help you manage your pain. I will see to it that you can arrange your affairs.' Those are truthful things," Goodman says.
When doctors withhold information, they make it more difficult for patients to chart their course and undermine their own credibility.
From the patient's point of view, "If I don't know my time is limited I can't put my affairs in order. I can't say, 'I'm sorry,'" he says. What's more, "it's not like patients are asking Dr. Kildare, 'What are my chances, Doc?' Patients are increasingly educated. If you don't tell them, they're going to be looking it up on the internet the next day, so you should probably be the source of the data, because you're a human and you care about them.

« Kembali

Support Online

Konsultasi Terbaru


    Kami PT. Aneka Gas Industri bergerak di bidang Instalasi Gas Medis dan Ssitem Ruang Operasi sistem Terbaru dapat membantu bapak/ibu dalam perencanaan hal tersebut diatas. 024-8664107/081351572913. (An ...

  • Deddy

    Jika membutuhkan alkes mata seperti slit lamp, AKR, OCT, Laser YAG..etc..bias menghubungi kami di or email ke ...

  • Rahmat

    Dijual rumah sakit yang masih aktif di Jakarta (masih beroperasi), harga 1,2 Trilyun. Keterangan detail bisa hubungi kami di No. 087839479535. ...

  • Lelyana

    Mohon estimasi jasa konsultasi sejak FS hingga manajemen untuk pembangunan RS 3 lantai 100 bed.
    Kami memerlukan informasi harga secepat nya.
    Tks. ...

  • alisudirgo

    bagi rekan rekan yang mau bangun klinik maupun rumah sakit,kita mau membackup kebutuhan mekanikal elektrikal,terutama genset dan solar water heater.unyuk info lengkap bisa hub; 081578016876.makasih

  • candradewi

    salam, saya ingin mengembangkan klinik pratama rawat inap di daerah Bantul Yogyakarta mohon informasi untuk funder dan investor yang bisa kami ajak kerjasama .
    Terimakasih ...

  • mety

    mohon bantuan referensi konsultan rumah sakit di karenakan di RSUD kami akan di adakan kegiatan review masterplan ...

  • irma yurita

    kami berencana membangun rumah sakit,kami membutuhkan konsultan yg paham tentang RS mulai dari desain RS. apakah bisa dibantu? ...

  • ARM Sofwan haryanto

    Selamat pagi, saya berencana buat Rumah Sakit umum di Yogyakarta,apa langkah yg harus saya siapkan untuk pendirian RS tsb. Apakah ada syarat harus dokter sebagai owner RS. apa harus bentuk PT atau ya ...

  • Ismail

    Slamat malam..... Apa saja warna standar ruang operasi rumah sakit? Mohon penjelasannya ? ...