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

  • asSis54key - benicar - cymbalta 60 mg - synthroid 200 - cleocin gel online - amo ...

  • Akreditasi Damanhuri

    Bagaimana membuat dasar hukum tentang lambang atau logo rumah sakit ? Misalnya kami ingin membuat logo RSUD H. Damanhuri barabai ...

  • rudi

    selamat malam pak konsultan. rencana saya akan meneruskan pembangunan rumah sakit yang sudah lama berhenti baru bangunan struktur 3 lantai. di luas lahan 1,5 hektr untuk rumah sakit tipe C. pertanyaan ...

  • Fredi

    Salam....kami 1 keluarga kebetulan memiliki tanah sebesar 1600m2 di lokasi strategid kebetulan tertarik ingin mendirikan rumah sakit....mohon pencerahan....apabila memungkinkan kami akan melakukan kon ...

  • teguh

    kami rumah sakit type d.dalam proses peningkatan ke type c
    untuk bagian perencanaan bagaimana acuan pembuatanya....?
    mohon penjelasan ...

  • PT.cahaya restu pratama

    Mohon perincian pembuatan dan observasi master plan untuk rumah sakit tipe D
    Terimakasih  ...

  • handry

    mlm pak mau tanya, sy ada lahan mau saya jual kebetulan pihak investor rencana mau mendirikan RS, terus langkah/prosedurnya apa saja pak? mksh ...

  • Tulus

    Salam kenal

    Saya Tulus dari PT. Supratechnic Instrumentasi indonesia. Kami merupakan distributor product instrumen seperti Humidity/temperature sensor, air flow sensor, thermohygro, data logger, pr ...

  • yong subiyanto

    Salam kenal.. menambahkan.. kami konsultan Instalasi Pengolahan Air Limbah ( IPAL ) dgn sistem Complete Mix Activated Sludge yang merupakan sistem paling efektif dan terkuat dlm mengolah limbah..


  • Davita

    saat ijin operasional RS/Klinik habis otomatis RS/Klinik akan mengajukan perpanjangan. Pada masa perpanjangan tsb apakah RS/klinik boleh tetap beroperasi? apakah ada peraturan tertulisnya terkait bole ...


Warning: Unknown: write failed: Disk quota exceeded (122) in Unknown on line 0

Warning: Unknown: Failed to write session data (files). Please verify that the current setting of session.save_path is correct (/tmp) in Unknown on line 0