INDIAN MEDIAL ASSOCIATION ISSUES CODE OF CONDUCT FOR. DOCTORS AND HOSPITALS

http://www.businesstoday.in/current/policy/doctor-patient-mistrust-ima-self-regulation-tips-for-doctors-hospitals/story/265779.html

*The IMA recommendation is the following:*

* IMA recommends that all doctors should prescribe preferably *NLEM (National List of Essential Medicine) drugs* ..

* All doctors shall promote Janaushidhi Kendras..

* We appeal to the government to classify all disposables under both NLEM and non-NLEM categories and cap the price of essential ones. Till then all medical establishments should sell the disposables at procurement prize after adding a predefined fixed margin..

* Hospitals and doctors are often blamed of overcharging and over investigations. Billing should be transparent, and all special investigations should be well informed..

* Every doctor should ensure that it becomes mandatory on the part of the hospital administrator to give options at the time of admission to choose cost-effective treatment room and treatment (single room, sharing room, and general-ward) and explain the difference in total bill estimates..

* All doctors should ensure that hospital estimates at the time of admission are near to actual..

* The treating doctor must explain the chances of death and unexpected complications and resultant financial implications..

* Once doctors take charge of a patient, the patient should not be neglected.. They should look after the patient till discharge..

* Emergency care is the responsibility of the state government and the government should subsidize the costs of all emergencies in private sector..

* Every medical prescription must include counseling on the cost of drugs and investigations..

* IMA has zero tolerance to doctors indulging in female feticide..

* IMA has zero tolerance to cuts and commissions.. Medical establishment should revisit their referral fee system..

* Billing paid to doctors should be transparent and reflected in the bill.. No hospital can force their consultants to work on targets..

* Contractual agreements should be in such way in which interested of both parties that is consultant and the hospital is equally protected..

* All hospitals should consider not charging service charges from the consultants..

* Choice of drugs and devices rests with the doctors based on the affordability of the patient and not on the profitability..

* All hospitals must comply to the commitment towards EWS, BPL, and poor patients without any discrimination..

* All patient complaints should be addressed in a timely manner through an internal redressal mechanism with a chairman from outside the hospital..

* All medical establishments must ensure that their business ethics comply with the MCI ETHICS..

* IMA LAMA policy: being a grey area is being made..

* Every dead body needs to be treated with respect and dignity..

* All charitable hospitals should do their free work as assigned..

* All needy patients must be routed through the social worker of the establishment and guided and directed to the appropriate place..

* At least one more equally experienced but unrelated surgeon should be involved in the consent form during elective LSCS..

* The patient has a right to get medical records within 72 hours of request.. Acknowledge their request..

* The patient has the right to go for a second opinion from an appropriately qualified medical doctor.. The primary doctors have no right to get offended..

* A hospital has no right to stop life-saving investigations or treatment for non-payment of bills if the patient is still admitted in the hospital..

* The government should make a mechanism for the reimbursement for the above for poor patients..

* Ensure for us all are equal.. BPL, APL, EWS, rich, or poor all should get the same attention and treatment..

* IMA policy: With no National Guidelines viability of fetus issue is being looked upon by IMA, FOGSI, IAP and NNF..

* We are not against any regulations and accountability, but we should all ask for a single window accountability at the state level..

* The state medical council should be proactive and take timely decisions..

* We should also ensure a single window registration..

* We must ensure that our establishment has a transgender policy..

* All government hospitals should be upgraded and have facilities like those in the private hospitals..

* All public, private or charitable hospitals should have quality accreditation..

* No doctors should issue false certificates..

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