While the industry is moving up in bell curve, there are systemic
gaps – often significant ones. One such is the SECOND OPINION. In a nut shell -
Second opinion is a decision-support tool for ratification or modification
of a suggested treatment, by another physician.It represents a Novel Advancement in
Modern Healthcare Services. As healthcare delivery shifts to a patient-controlled
model of care, expert Second Opinion is poised to lead that transition,
preventing diagnostic errors, saving cost and avoiding wrong treatments which
can have lethal consequences. Many diseases are inherently complex and there
are no clear answers either in terms of exact diagnosis or the best course of
intervention. In certain cases the physician responsible for the patient’s care
might lack the much needed expertise. The problem can be further magnified with
misplaced egos and a revenue driven approach that hospitals resort to (A recent report jointly conducted by FICCI
& EY, mentioned that 60% of the patients surveyed said that “Hospital don’t act in our best interest”).
Finally it could simply be the lack of time or fatigue that might lead
to incorrect diagnosis. After all, at 1:1200, the doctor patient ratio in India
is very low as compared to the countries with advanced healthcare (1:300 in
USA). The outcome can be disastrous to patients.
Second
Opinion is therefore not just a good idea, often it is essential and can make a
difference between life and death. If our loved one has been diagnosed with a serious
disease and are provided various preoperative and postoperative treatment
options, expert Second Opinion can assist us in navigating through the
confusing and expensive medical treatment process.
Common
Areas where second opinion mostly sought are in the field of Cancer, Organ
transplant, Cardiovascular, Neurological illness , Pre- surgical advise etc.
Globally the situation is similar. In the United States,
approximately 12 million adult out-patients are misdiagnosed annually. Such
situations can be minimized if the patient seeks second opinion. According to Mayo
Clinic’s General Internal Medicine Division in Rochester
- 88% patients looking for a second opinion would leave the office with a new or refined diagnosis, whereas 1/5 of the patients they saw was incorrectly diagnosed. A significant factor playing an irritant role today, is also the availability of information online and the patient’s tendency to seek and trust such opinion. With disastrous consequences at times. To prevent such inappropriate treatment, it is both in the patient’s and the doctor’s interest to encourage second opinion from a competent fellow professional. Although the Government of India, has been supportive in healthcare through its social scheme like Ayushman Bharat and making Second Opinion as the patient’s right one among the 17 charter rights of patients published by ministry of family and health, still lot has to be done at the ground level. The problem is compounded by the absence of clear-cut guidelines on the use of the second opinion. In India, our medical councils have failed to contribute to the discussion, or to regulate the use of the second opinion in any way. Having said, as patients or the loved ones, we must know that it is your constitutional right that - Doctors and the hospital must respect your decision if you choose to seek a second opinion from a doctor/hospital of your choice. And in case you choose to come back to the first hospital after getting your second opinion, the hospital still cannot compromise on the quality of healthcare services. So, go ahead and claim your right to the right treatment!By Dr. InderMaurya (Founder & CEO, Foreign OPD)MD – Emergency Medicine, ECFMG Cert. USA, Ex Senior Resident SGPGIMS Lucknow
- 88% patients looking for a second opinion would leave the office with a new or refined diagnosis, whereas 1/5 of the patients they saw was incorrectly diagnosed. A significant factor playing an irritant role today, is also the availability of information online and the patient’s tendency to seek and trust such opinion. With disastrous consequences at times. To prevent such inappropriate treatment, it is both in the patient’s and the doctor’s interest to encourage second opinion from a competent fellow professional. Although the Government of India, has been supportive in healthcare through its social scheme like Ayushman Bharat and making Second Opinion as the patient’s right one among the 17 charter rights of patients published by ministry of family and health, still lot has to be done at the ground level. The problem is compounded by the absence of clear-cut guidelines on the use of the second opinion. In India, our medical councils have failed to contribute to the discussion, or to regulate the use of the second opinion in any way. Having said, as patients or the loved ones, we must know that it is your constitutional right that - Doctors and the hospital must respect your decision if you choose to seek a second opinion from a doctor/hospital of your choice. And in case you choose to come back to the first hospital after getting your second opinion, the hospital still cannot compromise on the quality of healthcare services. So, go ahead and claim your right to the right treatment!By Dr. InderMaurya (Founder & CEO, Foreign OPD)MD – Emergency Medicine, ECFMG Cert. USA, Ex Senior Resident SGPGIMS Lucknow
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