Is clinician refusal to treat an emerging problem in injury compensation systems?

BMJ Open
Bianca BrijnathAlex Collie

Abstract

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. 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. Compensable injury management in general practice in Melbourne, Australia. 25 GPs who were treating, or had treated a patient with compensable injury. 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 compensabl...Continue Reading

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Citations

Oct 5, 2016·American Journal of Industrial Medicine·Katherine LippelDana Howse
Feb 5, 2019·Journal of Occupational Rehabilitation·Shannon E GrayAlex Collie
Feb 25, 2018·Journal of Occupational Rehabilitation·Danielle MazzaAlex Collie
Mar 3, 2018·Journal of Occupational Rehabilitation·Alex CollieJason Thompson
Oct 31, 2018·Journal of Occupational Rehabilitation·Alex CollieRoss Iles
Aug 28, 2019·Work : a Journal of Prevention, Assessment, and Rehabilitation·Wentao Li, Gregor Wolbring
Nov 20, 2019·Journal of Occupational and Environmental Medicine·Shannon E Gray, Alex Collie
Jun 4, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Stella SamoborecSusan M Evans
Jun 3, 2018·Psychiatry, Psychology, and Law : an Interdisciplinary Journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law·Shannon E Gray, Alex Collie
May 24, 2017·BMC Medical Informatics and Decision Making·Nieke A ElbersIan D Cameron
Apr 7, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·John Quintner, Melanie Galbraith

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