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Should patients undergo unnecessary imaging tests even if they insist on it?
 

Should patients undergo unnecessary imaging tests even if they insist on it?

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The majority of health care practitioners would agree that imaging is unnecessary for patients that complain of nonspecific or sub-acute lower back pain for a duration of less than four weeks.
 
today.mims.com
 
22 Nov 2016 - General
 
Imaging is in the same analogy. Well, being from a public health background, health care is a scarce resource and we should always aim to practice quartenary prevention - which is to avoid wastage of medical resources. Suppose all the patients request for ICU care, or all the patients request for MRI head to toe - it is certainly not justifiable. Everything needs to have a proper indication, and by scanning unnecessarily, we are likely to open the pandora's box and in the end cause unnecessa...
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I strongly believe that although patient has the autonomy, a patient of sound mind can choose the various options when offered and decline treatment, but they do not have the right to request for medication or procedure deemed unnecessary.
We doctors have to be firm with this as this is our profession. Give a simple example, if a patient walked into a GP clinic and request for antibiotics when it is clearly evident that the patient has viral URTI - (Centor criteria 0), would you prescribe an...
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Marinelle Castro I agree to what you said that patients has the right to autonomy and so I will respect their wish if they insists on a diagnostic/imaging procedure paid from their own money. ( Only hypothetically as we all know I'm not a doctor.) Anyway, as you've mentioned about those who have medical insurance, how would you explain to the patient that they can't undergo such tests? And have you en...
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Jemelyn Mae Sodusta I am currently working in a private institution and I have encountered patients who insist on doing certain tests, which in my opinion are unnecessary. On the ethical standpoint, our patient has the right to autonomy and we have to respect their wishes. All we can do as physicians is to explain the reason why we think the test is unnecessary. If the patient can afford the test, then I don...
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This is a nice question Mahmoud AbdelAziz. I would like to hear the experiences of all the doctors in the community. Do you allow your patients to undergo unnecessarry procedures especially if they insists it? Knowing the fact that they don't need it. In the article, it was stated that most of the time theirs an existing of overuse of a diagnostic test which led it to be the most common problem in the health ...
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Many patients have the established instinct that certain symptoms require necessarily specific investigations. This idea comes mainly from their educational background and shared experiences with their social circles. Following the patients lead in this matter can lead to unnecessary draining of resources. I have been through this experience where many simply educated persons can’t feel assured unless their investigation wish is fulfilled. However, we have to be very clear and try our best to ex...
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