Violence against medical fraternity, intolerable - A wake up call
The Declining doctor Ė patient relationship Ė Save the saviour

Dr Vinay Aggarwal *

 Doctors take the street protesting vandalism by patient party on August 08 2018
Doctors take the street protesting vandalism by patient party in August 2018 :: Pix - IT News

Though healthcare in India is gradually evolving and is expected to reach several heights by 2020, but besides such improvement and growth, it is unfortunate to observe that cases of verbal abuse to physical assaults against healthcare professionals in India are also on extreme rise.

And the ironical part is that, these attacks are done by patientís family members and dear ones. According to recent report by Indian Medical Association (IMA) revealed that nearly 75 % of the doctors face physical or verbal abuse inside the hospital premises.

There is a misconception among the attendants that getting into misbehaviour, and violence against the medical fraternity provides a better and clear way of communicating their thoughts to the doctor in order to receive the best possible treatment for the patients. This is not true and the patientís attendants must understand that the doctors always try their best efforts in recovering any patient irrespective of any factor.

Many such incidences pop up regularly, where doctors have been beaten up by the patientís attendants. Such incidents have put the doctors and the medical fraternity under extreme threat who create such nuisance putting the lives of doctors and patients at risk. In hospitals, where life and death situations are routine, people are perhaps a lot more stressed and express their frustrations by misbehaving with the staff members.

Understanding the reasons behind such verbal abuse and physical assaults

More and more violence is seen in Government sector due to lack of staff, overcrowding OPDís and lack of empathy, whereas in the private sector, it is invariably the financials and communication gap. Private healthcare delivers nearly 80% of the countryís medical needs.

Despite such care and technological advancements, the cases of violence along with public healthcare are still increasing in the sector. But one should also think that the private hospitals have emerged through investments from sources and stakeholders and not by doctors themselves.

And just like any other field the investors would want the Return on their investment (ROI) in which doctors donít have any such role. In fact in most of the cases doctors never ever have anything to do with bill payment as the services what they can provide is to the fullest and has no relationship with money making. There could be various reasons for such abuse against the medical fraternity which may include:

Communication Gap - Doctors have always been emphasizing that treatment is an attempt, but the outcomes are unpredictable. Medical sciences do not stick to statistics and not even the doctors are trained to think like wise. Sometimes these stats only give a false hope to the patientís dear ones which turns out into rage and disappointment on mortality.

And this becomes rampant with the double whammy of huge hospital bills. One has to understand that in more than 80% of the cases result in good results and better outcomes, though 20% of the cases may prove to be costly.

Though it is always hard to think such finer concerns during emotionally charged situations, but lack of awareness and the anxiety among the patientís relatives should be handled to the best by the hospital management.

Generally, hospitals fails in handling the responsibility they have towards the attendants, so those clinicians must meet the attendants regularly and should address all the queries as honestly and transparently as possible. Better communication is the key to avoid such barbaric incidents against the entire medical fraternity.

Lack of empathy - Many situations arise when the doctors perform the treatment whole-heartedly, but lack of communication about the efforts or plans with the patientís relatives also poise the situation. Attendant is always curious to know what has happened and what needs to be done, and in such a panic if they are unaware of what is happening, panic keeps on piling up and bursts out at saturation.

The administration in many hospitals is usually dominated by the management, who mostly fail to empathize with the complexity of human situations. For instance the final billing is always an insensitivity, where the attendant has to stand in queues for paying the bill and not at all empathized. Instead of finding better solutions, the government and the local politicians instead finds it easy to blame the private medical care and the doctors for not providing proper healthcare and plays along the public sentiments.

A few corrupt quacks - Corruption is another aspect, where one only thinks about his personal benefits and not of others. As in current situation when few quack doctors or hospitals are not honest about their intention, it is also termed as corruption. Our society, sadly is filled rampantly with quackery in few tier 2&3 cities.

With years of hard work and struggle (meant to serve humanity), few doctors will absorb the society ethos and try to make money and grow as fast as possible, at times even forgetting that they are dealing with sick and disturbed human beings.

The need of the hour

Violence cannot be justified at any cost, whatever be the reason or the grievance. Mostly doctors and nurses, who bear the brunt of verbal abuse and aggression, we have to realize that beating up the doctor wonít help them get better care and treatment. And that beating-up anyone is no solution to any problem.

It should always be noted that for instance, in cases of dengue with multiple organ failure, tremendous efforts are put in by the doctors and upto 60-70% of the cases survive after being admitted in ICU for many days. The result of ongoing blame game can be slowing the private healthcare (with lack of Government involvement), doctors also are becoming wary of taking up critically sick patients. With complete destruction of trust and faith between the doctor and patient community has only led to worsening of the situation.

Instead of relying only upon improving the infrastructure, beds, advanced machinery in government hospitals and governments expenditure on healthcare, research on low cost medication and scientific solution(without solely depending upon ayurveda and homeopathy) better outcomes can also be achieved.

Changes in insurance policies according to the cost of modern healthcare, educating doctors for better communication and documentation along with finding solution to prevent corruption will definitely revive the best doctor - patient trust.

Fortunately 19 states have enacted a law which is known as prevention of violence against the medical fraternity and medical establishments, which has different provision. This is the main reason for putting up a strong central law to check violence on the medical profession. But as we all know that law alone cannot serve the purpose unless, we both doctors and the patients donít realize the sensitivity of the situation and make attempts to improve the doctor-patient relationship.

* Dr Vinay Aggarwal wrote this article for Imphal Times
This article was webcasted on September 11 2019.

* Comments posted by users in this discussion thread and other parts of this site are opinions of the individuals posting them (whose user ID is displayed alongside) and not the views of We strongly recommend that users exercise responsibility, sensitivity and caution over language while writing your opinions which will be seen and read by other users. Please read a complete Guideline on using comments on this website.

  • Chothe Achui Lin festival #1
  • Chengpi, Kentaliu, Atomacha :: eMing
  • Lady E-Rickshaw driver inspires women..
  • M Shanker: Indian Achievers Award 2019
  • Softly Coo the Wild Pigeons :: Poem
  • Discussion on Manipur Merger Agreement
  • Irabot, one & only leader of oppressed mass
  • Start-up Manipur as a potential launch pad
  • Culture Students Foundation Day : Gallery
  • Eyek Tamba :: Learn Manipuri script
  • Territorial Integration, Flag or Constitution
  • Book published on Irabot Day: Download
  • In love with the night :: Poem
  • Maverick mind of Ram - Dedicated to Bar
  • Smoking- silent killer for your backbone
  • Revisiting Sept. 21 (1948 & 1949)
  • Where All The Flowers Gone? #1: Gallery
  • BCIM Corridor & China New Transportation
  • Alzheimer's Awareness Month
  • Cry of a Dying River - 93 :: Poem
  • Rally & Youth's Voice on Climate Change
  • Guwahati to Bangkok : Direct Flight
  • Stringent traffic rules in place
  • Time for immediate solution to climate crisis
  • Traditional Dress of Hmar : Gallery
  • Licypriya @UNESCO Forum, Angola: Gallery
  • World Ozone Day and Langban Tarpan
  • Protection of Land in Tamenglong: Meeting
  • Licypriya Kangujam at UNESCO : Report
  • Naga Peace Process :: News Timeline
  • ADBU Community Computer Education
  • Film- Hugo screening [Upd]
  • Being on the transit route of drugs
  • On the demand for ST status...
  • 46th AMWJU Foundation Day : Gallery
  • Machengluang cleared Tamei road
  • Scrapping of Constitution Article, 35 & 370
  • Her Kitchen :: Poem
  • Career in journalism
  • BMSA Freshers' Meet : Thanks Giving
  • Mass Awareness for PMJAY & CMHT
  • Need for JAC & school to act reasonably
  • Traffic Challans & other challenges
  • Hinduism in Manipur #3
  • An interaction with Dr. O.K. Singh #2
  • Loneliness :: Poem
  • Let Road Users have their say ..
  • RIST Talk: Binary Recurrence Sequences
  • Racial profiling & criminalization of people
  • ZPO rejects its dissolution
  • 10 houses torched in inter-village dispute
  • Heikru Hidongba #2 : Gallery
  • Attitude to life and family
  • Breaking the glass ceiling
  • 28th NAMA Convention at Chicago
  • Inpui Naga Karing Ngei 2018 : Book
  • Dr. Md. Hamidur Rahaman : AMP Award
  • World Patient Safety Day
  • The Killing Fields 2013-18 : News Timeline
  • Peace talk reportedly at final stage
  • Chayom Thupki (Meetei Philosophy) #11
  • 48th Foundation Day of RIMS : Gallery
  • Tarpon: Annual offerings to the dead
  • Licypriya : Climate change in Angola
  • World Ozone Day 2019
  • iKON 4th anniversary : Indian iKONIC
  • Gratitude to Dk. Korungthang
  • Xavier Board Higher Education Conference
  • Confusing announcement: ban on plastics
  • Nongpok Sanjenbam village #1: Gallery
  • Chaklam Khongchat Numit #4: Gallery
  • Ways of seeing Atiyagi Maya
  • National Lok Adalat at Lamphel Court
  • Take Me Home :: Poem
  • Money Lending business in Nagaland
  • Ambeshori : Gold at Jr Women Natl Boxing
  • Crime against nature deserve punishment
  • Khamba Thoibi Museum #1 : Gallery
  • Time- Is it an illusion? Certainly not
  • Can there really be peace without justice
  • Enrollment Program for PMJAY & CMHT
  • Heavy traffic fines, Harekrishna krishna
  • Jenil Khuman : Heroes of India award
  • Cracking the whip on driving by minors
  • ST demand: Is this a consensus decision..
  • Mukna - indigenous game : Gallery
  • An interaction with Dr. O.K. Singh #1
  • Cry of a Dying River - 92 :: Poem
  • Missing person : Dongminlian at Tirupati
  • Google Earth for ground & aerial survey
  • Mary Kom 1st woman athlete for Vibhushan
  • Delivering a point maturely
  • There should be a toll free grievance cell
  • Hiyang Tanaba @Lamlai #1: Gallery
  • Shrinking safe spaces
  • Child sexual abuse (CSA)
  • Demands: Flag for Naga & ST for Meitei
  • Proud of our scientists & ISRO
  • Daanveer Dutta Karna : 2nd best play
  • Inner Line Permit (ILP) Demand :: Timeline
  • Significance of Sept 11 to TSE
  • Climate Crisis, People, and the State
  • Ibudhou Marongkhong Haraoba #3: Gallery
  • Conundrum for Manipur govt over CAB
  • Violence against medical fraternity
  • Thongkhatabam Ankita : Governor's Award
  • The Enchantress :: Poem
  • Sunyata & Kenosis: Search of Ultimate Truth
  • Lim divide continues to run deep
  • Of nationalism, patriotism & against nature
  • Heikru Hidongba #1 : Gallery
  • Komrem Students Day @B'lore : Gallery
  • Protective Thinking: Village Nationalist #1
  • Haipou Jadonang: A Social reformer #3
  • Ungracious :: Poem
  • IAS Officer: Hero- Whipping boy- Villain
  • Petition CM to revoke breach order in Edn-S
  • Stand against illegal immigrants
  • September and Hijam Irabot
  • Impact of Christianity among Vaiphei #3
  • Kakching WW II Memorial Run : Gallery
  • Framework Agreement: Divide the state
  • Training Program for Remand Advocates
  • Hunt for North East designers & models
  • Kakching World War II Memorial Run: Report
  • Common Admission Test for IIMs
  • No school bags day for young students
  • GoI backtracking on Framework Agreement
  • Trekking to Dzukou #3 : Gallery
  • English as a Lingua Franca for NE
  • A Good Place to Spend the Night : Poem
  • The idea of Manipur
  • Vacancies at Hadron Techs, Imphal
  • 8th Convocation of Assam Don Bosco held
  • Yogurt based DIY packs to try
  • Big Bang Edge Test
  • Bhabananda was right; it was not only him ..
  • Chaklam Khongchat Numit #3: Gallery
  • Judicial administration under Bhagyachandra
  • Reena Bhavsar(Pebam ningon): Mrs India
  • Sick Education System should be blamed ...
  • Foundation Day of Physics Dept, MU
  • 26th World Congress of Political Science
  • DBC, Maram bags SBSI National award
  • Regulate pay of Pvt school teachers
  • Chingda Satpi Engellei #1 : eRang
  • The Endurers : a growing tribe
  • Swachh in Manipur
  • Khongoinaba & Kanglei Chanura Kanba
  • The ten in between :: Poem
  • Happy for no reason
  • Convocation: Assam Don Bosco University
  • Sounding the alert at the entry points:
  • Victims of greed
  • Folk Dance @Retreat ceremony #2: Gallery
  • Call for Papers : NACETER 2019 at Aizawl
  • Celebrating Teachers' Day 2019
  • Draft Bill on violence against healthcare
  • From the heart - Transcending fears
  • Her Richness :: Poem
  • Licypriya: Peace Prize : Gallery
  • Haipou Jadonang: A Social reformer #2
  • Licypriya : World Children Peace Prize
  • Manipur Tourism: Best cultural Award at TTF
  • Hinduism in Manipur # 2
  • Khelen Thokchom Media Fellowship
  • Chaklam Khongchat Numit #2: Gallery
  • Sangai Fest: Maibi Jagoi : Gallery
  • Chayom Thupki (Meetei Philosophy) #10
  • September Calendar for Year 2019 : Tools
  • Freshers Meet/Musical Night at Bangalore
  • Remembering the past famine...
  • Stalls- Hathei Phanit, Ukhrul #1: Gallery
  • Martyrdom of Haipou Jadonang: Gallery
  • Chinglensana Kangujam : Arjuna Award
  • Chaklam Khongchat Numit #1: Gallery
  • Manipur Independence Day : Gallery
  • Kariang nuna sip eh :: Poem
  • Impact of Christianity among Vaiphei #2
  • Introspecting renewed Hydropower push #1
  • Jhulon @ Imphal #2 : Gallery
  • Khangkhui Cave, Ukhrul #5 : Gallery
  • N'Jang-Ngi Thangal fest : Gallery
  • Jhulon @ Nabadwip, WB : Gallery
  • Heikat-Leikat [13 Aug] #2 : Gallery
  • Babysana: Student - Aug 10 #2: Gallery
  • Patriots' Day @ Pune : Gallery
  • Folklore of Hao communities #3
  • Aliyah #2 (Film Scenes) :: eRang
  • Babysana's last rites performed: Gallery
  • Featured Front Page Photo 2019 #3: Gallery
  • Tolloi, Ukhrul :: 360 Panorama View
  • Manipuri Calendar for 2019 : Download