Is clinician refusal to treat an emerging problem in injury compensation systems?
MetadataShow full item record
Objective: The reasons that doctors may refuse or be reluctant to treat have not been widely explored in the medical literature. To understand the ethical implications of reluctance to treat there is a need to recognise the constraints of doctors working in complex systems and to consider how these constraints may influence reluctance. The aim of this paper is to illustrate these constraints using the case of compensable injury in the Australian context. Design: Between September and December 2012, a qualitative investigation involving face-to-face semistructured interviews examined the knowledge, attitudes and practices of general practitioners (GPs) facilitating return to work in people with compensable injuries. Setting: Compensable injury management in general practice in Melbourne, Australia. Participants: 25 GPs who were treating, or had treated a patient with compensable injury. Results: The practice of clinicians refusing treatment was described by all participants. While most GPs reported refusal to treat among their colleagues in primary and specialist care, many participants also described their own reluctance to treat people with compensable injuries. Reasons offered included time and financial burdens, in addition to the clinical complexities involved in compensable injury management. Conclusions: In the case of compensable injury management, reluctance and refusal to treat is likely to have a domino effect by increasing the time and financial burden of clinically complex patients on the remaining clinicians. This may present a significant challenge to an effective, sustainable compensation system. Urgent research is needed to understand the extent and implications of reluctance and refusal to treat and to identify strategies to engage clinicians in treating people with compensable injuries.
This open access article is distributed under the Creative Commons license http://creativecommons.org/licenses/by-nc/4.0/
Showing items related by title, author, creator and subject.
Kennedy, Anna (2006)A series of on-farm quality assurance schemes for red meat producers across Australia were developed in the late 1990s in response to increasing global demands for greater accountability within the whole food. The Cattlecare ...
Gurumoorthy, Dhakshinamoorthy (1996)The syndrome commonly referred to as whiplash injury" resulting from motor vehicle accidents is complex and remains a challenge to clinicians, as is evidenced by the recent report of the Quebec task force on the "whiplash ...
Clinician behavioural intention to perform screening and brief intervention for alcohol-related injury in the emergency departmentFlewellen, R.; Lam, Tina; Carruthers, S.; Dinh, M.; Egerton-Warburton, Diana; Allsop, S. (2015)Introduction and Aims: Alcohol related injury is a major public health challenge, especially in emergency departments (ED). Staff responses may be influenced by a number of factors, including perceptions of people affected ...