Healers or Predators?

Healers or Predators?

Author: Samiran Nundy

Publisher: Oxford University Press

Published: 2018-06-29

Total Pages: 703

ISBN-13: 0199095779

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For every story of optimism about the growth of medical tourism to India, there are multiple others about medical neglect. Scratch the surface and you find a thick layer of corruption in this life-sustaining sector. This hard-hitting volume shows a mirror to society and, more specifically, to those associated with the health sector—on how healers, in many cases, are shifting shape to becoming predators. In the essays by contributors from within and outside the medical fraternity, we see the many faces, the many facets of corruption—from exorbitant billing by corporate hospitals to the non-merit-based selection in medical colleges to questionable motives playing strong in the area of organ transplantation. But Healers or Predators? is not only about the illness affecting the sector. It also offers solutions, and some stories of hope. The Foreword by Amartya Sen is an added bonus. ‘This splendid, if depressing, book will do a lot to remedy [the] momentous neglect [of healthcare]. We have excellent reasons to be grateful to the authors and editors of this important collection of investigative studies.’—Amartya Sen


Dynamics of Trust in Doctor-Patient Relationship in India

Dynamics of Trust in Doctor-Patient Relationship in India

Author: Vijayaprasad Gopichandran

Publisher: Springer Nature

Published: 2019-10-19

Total Pages: 109

ISBN-13: 981150346X

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This book offers an easy-to-read, yet comprehensive introduction to practical issues in doctor–patient relationships in a typical low- and middle-income country setting in India, examining in detail the reasons for erosion of trust and providing guidance on potential research areas in the field. It strikes a balance between empirical work and theoretical normative analysis, while adopting mixed-method research in exploring important constructs in the doctor–patient relationship, such as trust, solidarity, advocacy, patient-centeredness, privacy, and confidentiality. Since the concept of trust has direct implications for the ethical practice of medicine, the book is a valuable resource for academics and researchers in the field of medical, clinical, and applied ethics.


The Medical Interview

The Medical Interview

Author: Mack Jr. Lipkin

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 559

ISBN-13: 1461224888

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Primary care medicine is the new frontier in medicine. Every nation in the world has recognized the necessity to deliver personal and primary care to its people. This includes first-contact care, care based in a posi tive and caring personal relationship, care by a single healthcare pro vider for the majority of the patient's problems, coordination of all care by the patient's personal provider, advocacy for the patient by the pro vider, the provision of preventive care and psychosocial care, as well as care for episodes of acute and chronic illness. These facets of care work most effectively when they are embedded in a coherent integrated approach. The support for primary care derives from several significant trends. First, technologically based care costs have rocketed beyond reason or availability, occurring in the face of exploding populations and diminish ing real resources in many parts of the world, even in the wealthier nations. Simultaneously, the primary care disciplines-general internal medicine and pediatrics and family medicine-have matured significantly.


Contemporary Bioethics

Contemporary Bioethics

Author: Mohammed Ali Al-Bar

Publisher: Springer

Published: 2015-05-27

Total Pages: 273

ISBN-13: 3319184288

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This book discusses the common principles of morality and ethics derived from divinely endowed intuitive reason through the creation of al-fitr' a (nature) and human intellect (al-‘aql). Biomedical topics are presented and ethical issues related to topics such as genetic testing, assisted reproduction and organ transplantation are discussed. Whereas these natural sources are God’s special gifts to human beings, God’s revelation as given to the prophets is the supernatural source of divine guidance through which human communities have been guided at all times through history. The second part of the book concentrates on the objectives of Islamic religious practice – the maqa' sid – which include: Preservation of Faith, Preservation of Life, Preservation of Mind (intellect and reason), Preservation of Progeny (al-nasl) and Preservation of Property. Lastly, the third part of the book discusses selected topical issues, including abortion, assisted reproduction devices, genetics, organ transplantation, brain death and end-of-life aspects. For each topic, the current medical evidence is followed by a detailed discussion of the ethical issues involved.


Dear People, with Love and Care, Your Doctors

Dear People, with Love and Care, Your Doctors

Author: Debraj Shome

Publisher: Bloomsbury Publishing

Published: 2019-08-10

Total Pages: 291

ISBN-13: 9387146952

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From time immemorial, medicine has remained one of the most respected professions. Trust formed the unshakeable foundation of the doctor-patient relationship and, for long, doctors were treated next to God. In recent times, though, this sacred relationship is suffering from an erosion of faith. We often hear discouraging stories of doctors being abused and hospitals vandalised. The narrative is gradually turning negative-a dismal reality for both doctors and patients. We tend to forget that there are many great things happening in the medical world. Today, we are living much longer, we have managed to eradicate many diseases, we have vaccines that prevent our children from dying, life-saving surgeries are being performed while the baby is still in the womb, and we can give the gift of life to someone by transplanting vital organs. Medical miracles are happening every day in hospitals worldwide. This book is a collection of heartfelt stories by doctors and patients from across the globe. These are stories of triumph, empathy, positivity, loss and, sometimes, failure. It goes one step ahead and captures the experience of people who surround a doctor-the mother of a doctor, a surgeon's husband and an acid attack survivor-stories that underline that a doctor too is a human being after all. Human resilience can often break barriers, and these stories serve as inspiration to both patients and doctors alike. Riveting and absolutely unputdownable, Dear People gives an inside view of the world of medicine and hopes to inspire millions to retain faith in this beautiful relationship.


India's Healthcare Industry

India's Healthcare Industry

Author: Lawton R. Burns

Publisher: Cambridge University Press

Published: 2014-01-13

Total Pages: 601

ISBN-13: 1107044375

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This book analyzes the historical development and current state of India's healthcare industry using some interesting case studies.


Institutionalizing Illness Narratives

Institutionalizing Illness Narratives

Author: Mathew George

Publisher: Springer

Published: 2016-08-01

Total Pages: 189

ISBN-13: 9811019053

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This book is an ethnographic work that uses a critical medical anthropology approach to examine the concept of fever care in the context of southern India. Through a study of fevers, the study provides a critical overview to medical practice itself, as it is said that the history of fevers is also the history of medicine. This association between fevers and medicine is as relevant today, as this in-depth study of fever care reveals. Acknowledging the central role of health institutions in creating and propagating notions about illness in society, the author examines fever care through a study of hospitals. The study examines various discourses on fevers prevalent in the southern state of Kerala, which influence policy and programmatic dimensions of the state health services system. Fever care implies those aspects related to provisioning and cost involved among public and private sector hospitals. A second and more important dimension of this book is a critique of the culture of biomedical practice, informed by the social constructivist framework and approaches in the field of science studies. Overall, the book studies the processes by which physical symptoms like fever are treated as epidemics to be controlled, and are therefore brought within a biomedical system, thereby opening up options for commercialization of care.


Dissenting Diagnosis

Dissenting Diagnosis

Author: Arun Gadre

Publisher: Random House India

Published: 2016-04-22

Total Pages: 198

ISBN-13: 8184007965

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Complaints about the state of medical care are increasing in today’s India: whether it’s unnecessary investigations, botched operations or expensive—sometimes even harmful—medication. But while the unease is widespread, few outside the profession understand the extent to which the medical system is being distorted. Dr Arun Gadre and Dr Abhay Shukla have gathered evidence from seventy-eight practising doctors, in both the private and public medical sectors, to expose the ways in which vulnerable patients are exploited by a system that promotes unscrupulous medical practices. At a time when the medical sector is growing rapidly, especially in urban areas, with the proliferation of multi-specialty hospitals and the adoption of ever-more sophisticated technologies, rational and ethical medical care is becoming increasingly rare. Honest doctors feel under siege, professional bodies meant to regulate the medical sector fail to do so, and the influence of the powerful pharmaceutical industry becomes even more pervasive. Drawing on the frank and courageous statements of these seventy-eight doctors dismayed at the state of their profession, Dissenting Diagnosis lays bare the corruption afflicting the medical sector in India and sets out solutions for a healthier future.


Conflicts of Interest in Clinical Practice and Research

Conflicts of Interest in Clinical Practice and Research

Author: Roy G. Spece

Publisher:

Published: 1996

Total Pages: 480

ISBN-13:

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Our society has long sanctioned, at least tacitly, a conflict of interest in medical practice and research as an unavoidable consequence of the different interests of the participants in health care: the physician or clinical researcher, the patient or research subject, insurance companies or research sponsors, the government, and society as a whole. This multidisciplinary effort draws from philosophy, medicine, law, economics and public policy to identify and categorize conflicts of interest in medical practice and clinical research, and, where possible, to offer a mechanism for resolving them. Part I reviews the theoretical background, including basic concepts and analytical frameworks. The second part discusses two topics prominent in current health care policy debates--self-referral and financial incentives to limit care. Part III examines conflicts of interest generated by pharmaceutical industry involvement in clinical practice and research. The final section deals with clinical research in several contexts, including institutional review boards, clinical trials, research agreements between the government and private researchers, brokerage of research subjects by contract research organizations, and cost-effectiveness studies.