8/14/2019 Right & Responsibility of Private Medical Practitioner

1/21

Reason for Being a Private

Medical Practicioner Financial renumeration

Disillusionment & Frustrationwith Public service

Independence of practice

Freedom

8/14/2019 Right & Responsibility of Private Medical Practitioner

2/21

Our Rights &

ResponsibilitiesAs

PRIVATE MEDICALPRACTICIONERS

8/14/2019 Right & Responsibility of Private Medical Practitioner

3/21

Guidelines to Doctors

A medical practicioner registeredwith the Malaysian Medical Councilhas rights, privileges andresponsibilities. The practioner isexpected to meet the standards of competence, care and conduct setby the Malaysian Medical Council

TanSri Dato Dr Abu Bakar Suleiman PresidentMMC January 2001

8/14/2019 Right & Responsibility of Private Medical Practitioner

4/21

RIGHTS PLAYERS

PRIVATEPRACTICIONER

STATEPARTY

8/14/2019 Right & Responsibility of Private Medical Practitioner

5/21

Link Between P.P.

Rights & Responsibility Private

practicioner Rights

PrivatePracticioner Responsibility

Role of the PrivateHealth Facilities &Services Act &REgulationsHFA

Rights of PP

ResponOf PP PHFSA

& Reg.

8/14/2019 Right & Responsibility of Private Medical Practitioner

6/21

Private Medical

Practicioner RightsYour Rights

Basic humanrights

Your rightsAs

A pyhsician

Your rightsas

A private medicalpracticioner

8/14/2019 Right & Responsibility of Private Medical Practitioner

7/21

The Private Practicioner

Rights Perceived

Defined rightsbasic HRphysician rightprivate practicioner right

The gap between Basic HR & Rightsas a Private medical Practicioner

8/14/2019 Right & Responsibility of Private Medical Practitioner

8/21

Basic HumanRights of the Private Practicioner

UDHR 30 Articles

Indivisible

ECONOMICSOCIAL &

CULTURALRIGHTS

CIVIL &POLITICALRIGHTS

8/14/2019 Right & Responsibility of Private Medical Practitioner

9/21

UDHR

Art 22- economic rights

Art 23- right to work in reasonable conditions

Art 25- right to adequate standard of living

8/14/2019 Right & Responsibility of Private Medical Practitioner

10/21

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

8/14/2019 Right & Responsibility of Private Medical Practitioner

11/21

RIGHTS AS DOCTORS

Practice medicine in line withthe ethics and establishedcodes of medical practicetaking into account the basicprinciples of benificence, non-

maleficence and the upholdingof the patient autonomy.

8/14/2019 Right & Responsibility of Private Medical Practitioner

12/21

Rights of the Private

Practicioner Register a Practice as

an individual or groupor with an establishedmedical centre

Set up the practice asper above

Practice with securityi.e. Rights friendlyenvironment

Rights to supportservices & information

Legal protection &representation

Legal redress

8/14/2019 Right & Responsibility of Private Medical Practitioner

13/21

Responsibilities of the Private MedicalPracticioner

Your Responsibilities

As aprivate citizen

Member of the

Medicalprofession

PrivateMedical

practicioner

8/14/2019 Right & Responsibility of Private Medical Practitioner

14/21

LINK BETWEEN RIGHTS &

RESPONSIBILITIES

RIGHTS

RESPON REGUL. RIGHTSRESPONS-IBILITIES

REGULATORYMECHAN

8/14/2019 Right & Responsibility of Private Medical Practitioner

15/21

Our responsibilities as a

private citizen

Treat every person as another

human being

Irespective of color, creed,

ethnicity or social status

8/14/2019 Right & Responsibility of Private Medical Practitioner

16/21

Our responsibilities as amember of the medical

profession Position of doctors in society

Safeguard the honour & reputation of the medicalprofession

Uphold Medical Ethics & Codes of Practice(Benevolence, Benificence &Non-maleficence)

Grounds for Complaints, Inquiry, Investigation &

Punishment Practicioner duties goes beyond our contractual

responsibilities

8/14/2019 Right & Responsibility of Private Medical Practitioner

17/21

Our responsibilities as aprivate medical practicioner

To the patientprovide consultationadvise or Ix or accordinglyCounsel,treat or refer accordingly

The patient family & relativesexplaincounsel

Comply with regulations as per Private Health Care & Servicesmaintainence of standard of care

Ministry of healthcomplimentary role health-care provider public health promotion & prevention

8/14/2019 Right & Responsibility of Private Medical Practitioner

18/21

The PHFSAct

Rationale Objectives

Components Implementation Impacts on HR

& PR

8/14/2019 Right & Responsibility of Private Medical Practitioner

19/21

Our responsibilities as defined bythe PHFSA & Regulations

The Act & Regulations 14 parts

-interpretation-registration

-organization &management-policy-registers, rosters &

returns-greviance

mechanism-medical records-infection control

-General provisionsfor standards of privatemedical services

-emergency careservices

-pharmaceuticalservices

-out-patient srvices-imaging services-miscellaneous

8/14/2019 Right & Responsibility of Private Medical Practitioner

20/21

Ethics &

Responsibilities Rule of conduct Conscience

based Formulated as

duties

Benevolence &authority asphysicians

Enactment of Laws

Formulation of regulations

Enforcement

Punitivecomponents

8/14/2019 Right & Responsibility of Private Medical Practitioner

21/21

PHFA areas of concern Patient centric

professional standards of careemphasis on structuralXS focus on micro Vs spirit of the Act &

RegulationsUndue exposure to litigations

Financial & Manpower implications as per OM & SOPPrivate med Clinics

Enabling Tool / Burden to the Practicioner?

Punitive? excessiverepercussions on the practicioner criminalisations of the practicioner