Is clinician refusal to treat an emerging problem in injury compensation systems?
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...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
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BM J Group
2016
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| Online Access: | http://hdl.handle.net/20.500.11937/33163 |
| _version_ | 1848753869260062720 |
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| author | Brijnath, Bianca Mazza, D. Kosny, A. Bunzli, S. Singh, N. Ruseckaite, R. Collie, A. |
| author_facet | Brijnath, Bianca Mazza, D. Kosny, A. Bunzli, S. Singh, N. Ruseckaite, R. Collie, A. |
| author_sort | Brijnath, Bianca |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T08:31:22Z |
| format | Journal Article |
| id | curtin-20.500.11937-33163 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:31:22Z |
| publishDate | 2016 |
| publisher | BM J Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-331632017-09-13T15:28:02Z Is clinician refusal to treat an emerging problem in injury compensation systems? Brijnath, Bianca Mazza, D. Kosny, A. Bunzli, S. Singh, N. Ruseckaite, R. Collie, A. 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. 2016 Journal Article http://hdl.handle.net/20.500.11937/33163 10.1136/bmjopen-2015-009423 BM J Group fulltext |
| spellingShingle | Brijnath, Bianca Mazza, D. Kosny, A. Bunzli, S. Singh, N. Ruseckaite, R. Collie, A. Is clinician refusal to treat an emerging problem in injury compensation systems? |
| title | Is clinician refusal to treat an emerging problem in injury compensation systems? |
| title_full | Is clinician refusal to treat an emerging problem in injury compensation systems? |
| title_fullStr | Is clinician refusal to treat an emerging problem in injury compensation systems? |
| title_full_unstemmed | Is clinician refusal to treat an emerging problem in injury compensation systems? |
| title_short | Is clinician refusal to treat an emerging problem in injury compensation systems? |
| title_sort | is clinician refusal to treat an emerging problem in injury compensation systems? |
| url | http://hdl.handle.net/20.500.11937/33163 |