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The doctor-patient relationship is fraught with risk. Patients may be at risk from a doctor who misuses their position of authority, or is unclear where the appropriate boundaries lie. Doctors risk disciplinary or criminal proceedings when this happens. This book aims to address these risks, to assist clinicians in their daily relationships with patients, and to improve patient safety. The authors examine the ethical principles and how these may be taught; prevalence of abuse; regulation and sanctions; management and governance; remediation; and the roles of the different organisations that may be involved, such as the General Medical Council and medical protection societies. This is a practical guide to help clinicians avoid boundary violations and improve patient safety.
Published with the Australian Institute of Criminology.Medicine has always been intimately involved with crime and criminology, whether it is through explanations of criminal behaviour or the attempt to modify this behaviour through treatment. This book looks at the interaction between the criminal justice system and regulating health care practice. Covering a variety of disciplines, the books addresses regulatory controls and the regulation in health care of alternative health care methods, sexual misconduct in health care, unlawful killing and fraud.
The problem of malfunctioning doctors is internationally recognised. Estimates in different countries of the number of disfunctioning doctors are around 5little literature on problem doctors. This book is about understanding problem doctors and helping the profession find better ways to help them and protect the public, the patients. It describes the following questions: Which definitions of malfunctioning are being used? What is the nature of malfunctioning and to what extend does it occur? Are there any data about the incident or prevalence of problem doctors? What kind of regulations exist to deal with malfunctioning doctors and which solutions to tackle the problem have been found? How is or how could malfunctioning doctors be prevented? The first part of the book explores themes like the doctor as iatrogenic factor, the damage doctors may cause, the incompetent physician behind closed doors, the impaired physician, sexual contact between doctors and patients, and fraud and misconduct in medical science. The second part gives an overview of the problem doctor in different countries around the world and of the informal mechanisms used to cope with this problem. Part three covers the measures during the university training to prevent doctors from malfunctioning. How can we select better doctors in the future? And if every thing fails, is outplacement possible?
Sexual Assault in Canada is the first English-language book in almost two decades to assess the state of sexual assault law and legal practice in Canada. Gathering together feminist scholars, lawyers, activists and policy-makers, it presents a picture of the difficult issues that Canadian women face when reporting and prosecuting sexual violence. The volume addresses many themes including the systematic undermining of women who have been sexually assaulted, the experiences of marginalized women, and the role of women’s activism. It explores sexual assault in various contexts, including professional sports, the doctor–patient relationship, and residential schools. And it highlights the influence of certain players in the reporting and litigation of sexual violence, including health care providers, social workers, police, lawyers and judges. Sexual Assault in Canada provides both a multi-faceted assessment of the progress of feminist reforms to Canadian sexual assault law and practice, and articulates a myriad of new ideas, proposed changes to law, and inspired activist strategies. This book was created to celebrate the tenth anniversary of Jane Doe’s remarkable legal victory against the Toronto police for sex discrimination in the policing of rape and for negligence in failing to warn her of a serial rapist. The case made legal history and motivated a new generation of feminist activists. This book honours her pioneering work by reflecting on how law, legal practice and activism have evolved over the past decade and where feminist research and reform should lead in the years to come.
Over 200 Chapters in six volumes cover the whole gamut of plastic, reconstructive and aesthetic surgeries. A comprehensive and illustrated work from the land of Sushruta for students, teachers, and practicing surgeons. In this volume, Principles and Advances in Plastic Surgery, a very wide spectrum of topics, right from the history of plastic surgery to current and raging subjects like lasers; composite tissue allotransplantation; simulation; robotics; telemedicine and information technology in plastic surgery; clinical photography; human factors and skills in plastic surgery; doctor-patient relationship; and legal issues have been discussed. The six volumes seek to incorporate in one work issues relevant to the developing world as well as insights from national and international plastic surgery practices, which highlight newer management techniques along with traditional methods. This makes these volumes a "must have" resource for students and practitioners of plastic surgery across the globe. Key Features The book is broadly divided into five sections: general, face, hair restoration, body contouring, and breast. Explains techniques of "hair restoration surgery". This is a unique topic and is not covered in any of the similar published titles. Covers all the aspects of aesthetic plastic surgery including nonsurgical management. The chapter on regenerative medicine gives a futuristic literature. Section on face covers topics related to ageing, surgical and nonsurgical rejuvenation techniques.
Focusing on a matter of continuing contemporary significance, this book is the first work to offer an in-depth exploration of exploitation in the doctor-patient relationship. It provides a theoretical analysis of the concept of exploitation, setting out exploitation’s essential elements within the authors’ account of wrongful exploitation. It then presents a contextual analysis of exploitation in the doctor-patient relationship, considering the dynamics of this fiduciary relationship, the significance of vulnerability, and the reasons why exploitation in this relationship is particularly wrongful. Two case studies – sexual exploitation and assisted dying – are employed to assess what the appropriate legal, ethical and regulatory responses to exploitation should be, to identify common themes regarding the doctor’s behaviour (such as the use of undue influence as a conduit through which to take advantage of and misuse patients), and to illustrate the effects of exploitation on patients. A recurring question addressed is how exploitation in the doctor-patient relationship is and should be dealt with by ethics, regulators and the law, and whether exploitation in this relationship is a special case. The book provides a critical, interdisciplinary evaluation of exploitation in the doctor-patient relationship that will be of interest to health care lawyers, bioethicists, legal academics and practitioners, health care professionals and policymakers.
In this special issue, top researchers from a diversity of disciplines provide an overview of and insights into the major social, cultural, and structural variables that play a role in Black women's poor health, and differential morbidity and mortality. The articles focus on the major threats to Black women's health such as diabetes, obesity, cancer, violence, and AIDS, and utilize a wide range of qualitative and quantitative methods from medicine, psychology, sociology, and feminist analysis. Among the articles are: * An examination of the role of Black women's cultural and ethnomedical beliefs in their use of cancer screening by Laurie Hoffman-Goetz and Sherry Mills of the National Cancer Institute; * An empirical analysis of Black women's utilization of health services entailing more than 18,000 women by Lonnie Snowden and his colleagues at the University of California-Berkeley Center for Mental Health Services Research; * A comprehensive review and empirical analysis of the role of violence in Black women's health by Nancy Felipe Russo (Arizona State University), Mary Koss (University of Arizona), and Gwen Keita (APA Office on Women); * An empirical investigation of the role of social and contextual variables in HIV risk among low-income Black women by Kathleen Sikkema, Timothy Heckman, and Jeffrey Kelly of the Center for AIDS Intervention Research, Medical College of Wisconsin. Other articles include comprehensive and critical analyses and reviews of diabetes, breast cancer risk perceptions, and obesity among Black women, as well as analyses of Black women's exclusion from research in medicine, women's health, health psychology, and behavioral medicine. The first issue of any psychology journal to be devoted to the health of Black women, this special issue is a step in the direction of redressing the long-overdue neglect of Black women's health. It provides a cogent overview of the state of Black women's health, numerous empirical investigations, and clear suggestions for future research.
It examines all of the dimensions associated with this terrible occurrence: legal, ethical, administrative, educational, and rehabilitative. It provides thorough, candid coverage crucial for psychiatrists and other medical professionals, social workers, lawyers, medical board administrators, and residents in ethics and forensics seminars.
This volume analyses how effectively criminal law operates as a forum for resolving ethical conflict in the delivery of health care.