Right & Responsibility Of Private Medical Practitioner
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Reason for Being a Private Medical Practicioner • Financial renumeration • Disillusionment & Frustration with Public service • Independence of practice • Freedom
Our Rights & Responsibilities As PRIVATE MEDICAL PRACTICIONERS
Guidelines to Doctors • “A medical practicioner registered with the Malaysian Medical Council has rights, privileges and responsibilities. The practioner is expected to meet the standards of competence, care and conduct set by the Malaysian Medical Council” TanSri Dato Dr Abu Bakar Suleiman President MMC January 2001
RIGHTS PLAYERS
PRIVATE PRACTICIONER
STATE PARTY
Link Between P.P. Rights & Responsibility • Private practicioner Rights • Private Practicioner Responsibility • Role of the Private Health Facilities & Services Act & REgulationsHFA
Rights of PP Respon Of PP
PHFSA & Reg.
Private Medical Practicioner Rights Your Rights
Basic human rights
Your rights As A pyhsician
Your rights as A private medical practicioner
The Private Practicioner Rights • Perceived • Defined rights basic HR physician right private practicioner right • The gap between Basic HR & Rights as a Private medical Practicioner
Basic Human Rights of the Private Practicioner • UDHR • 30 Articles • Indivisible
• ECONOMIC SOCIAL & CULTURAL RIGHTS • CIVIL & POLITICAL RIGHTS
UDHR • Art 22- economic rights • Art 23- right to work in reasonable conditions • Art 25- right to adequate standard of living
UDHR • • • • • •
Art 6- everyone counts as a full person before the law Art 7- equality before the law Art 8- access to judiciary system Art 9- protection against arrest or detention without adequate grounds Art 10- right to fair trial Art 11- innocent until proven guilty
RIGHTS AS DOCTORS • Practice medicine in line with the ethics and established codes of medical practice taking into account the basic principles of benificence, nonmaleficence and the upholding of the patient autonomy.
Rights of the Private Practicioner • Register a Practice as an individual or group or with an established medical centre • Set up the practice as per above • Practice with security i.e. Rights friendly environment
• Rights to support services & information • Legal protection & representation • Legal redress
Responsibilities of the Private Medical Practicioner
Your Responsibilities
As a private citizen
Member of the Medical profession
Private Medical practicioner
LINK BETWEEN RIGHTS & RESPONSIBILITIES
RIGHTS
RESPON
REGUL.
RIGHTS
RESPONSIBILITIES
REGULATORY MECHAN
Our responsibilities as a private citizen • Treat every person as another human being • Irespective of color, creed, ethnicity or social status
Our responsibilities as a member of the medical profession • Position of doctors in society • Safeguard the honour & reputation of the medical profession • Uphold Medical Ethics & Codes of Practice (Benevolence, Benificence &Non-maleficence) • Grounds for Complaints, Inquiry, Investigation & Punishment • Practicioner duties goes beyond our contractual responsibilities
Our responsibilities as a private medical practicioner •
To the patient
•
The patient family & relatives
•
Comply with regulations as per Private Health Care & Services maintainence of standard of care
•
Ministry of health
provide consultation advise or Ix or accordingly Counsel,treat or refer accordingly explain counsel
complimentary role health-care provider public health promotion & prevention
The PHFSAct • • • • •
Rationale Objectives Components Implementation Impacts on HR & PR
Our responsibilities as defined by the PHFSA & Regulations • •
The Act & Regulations 14 parts -interpretation -registration -organization & management -policy -registers, rosters & returns -greviance mechanism -medical records -infection control
-General provisions for standards of private medical services -emergency care services -pharmaceutical services -out-patient srvices -imaging services -miscellaneous
Ethics & Responsibilities • Rule of conduct • Conscience based • Formulated as duties • Benevolence & authority as physicians
• Enactment of Laws • Formulation of regulations • Enforcement • Punitive components
PHFA areas of concern •
Patient centric professional standards of care emphasis on structural XS focus on micro Vs spirit of the Act & Regulations Undue exposure to litigations
•
Financial & Manpower implications as per OM & SOP Private med Clinics
•
Enabling Tool / Burden to the Practicioner?
•
Punitive ? excessive repercussions on the practicioner criminalisations of the practicioner
Our Rights & Responsibilities As PRIVATE MEDICAL PRACTICIONERS
Guidelines to Doctors • “A medical practicioner registered with the Malaysian Medical Council has rights, privileges and responsibilities. The practioner is expected to meet the standards of competence, care and conduct set by the Malaysian Medical Council” TanSri Dato Dr Abu Bakar Suleiman President MMC January 2001
RIGHTS PLAYERS
PRIVATE PRACTICIONER
STATE PARTY
Link Between P.P. Rights & Responsibility • Private practicioner Rights • Private Practicioner Responsibility • Role of the Private Health Facilities & Services Act & REgulationsHFA
Rights of PP Respon Of PP
PHFSA & Reg.
Private Medical Practicioner Rights Your Rights
Basic human rights
Your rights As A pyhsician
Your rights as A private medical practicioner
The Private Practicioner Rights • Perceived • Defined rights basic HR physician right private practicioner right • The gap between Basic HR & Rights as a Private medical Practicioner
Basic Human Rights of the Private Practicioner • UDHR • 30 Articles • Indivisible
• ECONOMIC SOCIAL & CULTURAL RIGHTS • CIVIL & POLITICAL RIGHTS
UDHR • Art 22- economic rights • Art 23- right to work in reasonable conditions • Art 25- right to adequate standard of living
UDHR • • • • • •
Art 6- everyone counts as a full person before the law Art 7- equality before the law Art 8- access to judiciary system Art 9- protection against arrest or detention without adequate grounds Art 10- right to fair trial Art 11- innocent until proven guilty
RIGHTS AS DOCTORS • Practice medicine in line with the ethics and established codes of medical practice taking into account the basic principles of benificence, nonmaleficence and the upholding of the patient autonomy.
Rights of the Private Practicioner • Register a Practice as an individual or group or with an established medical centre • Set up the practice as per above • Practice with security i.e. Rights friendly environment
• Rights to support services & information • Legal protection & representation • Legal redress
Responsibilities of the Private Medical Practicioner
Your Responsibilities
As a private citizen
Member of the Medical profession
Private Medical practicioner
LINK BETWEEN RIGHTS & RESPONSIBILITIES
RIGHTS
RESPON
REGUL.
RIGHTS
RESPONSIBILITIES
REGULATORY MECHAN
Our responsibilities as a private citizen • Treat every person as another human being • Irespective of color, creed, ethnicity or social status
Our responsibilities as a member of the medical profession • Position of doctors in society • Safeguard the honour & reputation of the medical profession • Uphold Medical Ethics & Codes of Practice (Benevolence, Benificence &Non-maleficence) • Grounds for Complaints, Inquiry, Investigation & Punishment • Practicioner duties goes beyond our contractual responsibilities
Our responsibilities as a private medical practicioner •
To the patient
•
The patient family & relatives
•
Comply with regulations as per Private Health Care & Services maintainence of standard of care
•
Ministry of health
provide consultation advise or Ix or accordingly Counsel,treat or refer accordingly explain counsel
complimentary role health-care provider public health promotion & prevention
The PHFSAct • • • • •
Rationale Objectives Components Implementation Impacts on HR & PR
Our responsibilities as defined by the PHFSA & Regulations • •
The Act & Regulations 14 parts -interpretation -registration -organization & management -policy -registers, rosters & returns -greviance mechanism -medical records -infection control
-General provisions for standards of private medical services -emergency care services -pharmaceutical services -out-patient srvices -imaging services -miscellaneous
Ethics & Responsibilities • Rule of conduct • Conscience based • Formulated as duties • Benevolence & authority as physicians
• Enactment of Laws • Formulation of regulations • Enforcement • Punitive components
PHFA areas of concern •
Patient centric professional standards of care emphasis on structural XS focus on micro Vs spirit of the Act & Regulations Undue exposure to litigations
•
Financial & Manpower implications as per OM & SOP Private med Clinics
•
Enabling Tool / Burden to the Practicioner?
•
Punitive ? excessive repercussions on the practicioner criminalisations of the practicioner
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