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| The obligations of the doctor towards his patients |
Depending on the nature of the consultation, the doctor makes a diagnosis, prescribes a treatment and follows up on it. Here are the doctor's obligations to his patients.
What are the obligations of a doctor to his patients?
A doctor has a very wide responsibility towards his patients. It covers everything it can do but can also cover the directives it gives to its auxiliaries, such as nurses, externs and residents.
Here are the main obligations of a doctor:
The obligation to diagnose and treat the patient, In law, it is said that the doctor has an obligation of means (and not of result) towards his patients. This means that he must take the appropriate means at his disposal in order to make a correct diagnosis, treat the patient and follow up with him on his condition.
A physician must act in accordance with current science data and use commonly recognised treatments.
He must give his patients conscientious and attentive care.
The doctor must act within the limits of his competence. When in doubt, the doctor should inquire or refer the patient to a specialist physician.
The duty to treat involves prescribing proper medication, informing the patient of the advantages, disadvantages, risks, and alternatives to a proposed treatment or operation and providing adequate follow-up of their condition in a timely manner. For example, following an intervention, the doctor must ensure the medical follow-up required by the condition of the patient unless he has made sure that a colleague or another professional can do it for him.
The obligation to inform
The doctor must inform his patient in order to allow him to give free and informed consent. The doctor must inform the patient, among other things, about:
The diagnosis ;
The nature, purpose and severity of the intervention;
The risks associated with the intervention;
Alternatives to intervention.
The duty to inform the doctor also includes the obligation to answer the patient's questions.
This obligation applies to the patient himself, the person who must make the decisions on his behalf or the parents in the case of minors under 14 years of age.
The physician must present to his patient the risks of success and failure of the proposed intervention taking into consideration the particular conditions of his patient.
In addition, he must inform him of the potential negative consequences that may result from the intervention. However, it is unthinkable to require the physician to disclose all possible risks of an intervention. The physician must disclose the foreseeable risks (that is, those that are more likely to occur) and the rare risks that have significant and patient-specific effects.
The intensity of the information obligation may vary depending on the circumstances and depending on the patient.
Indeed, for certain types of interventions, the doctor is required to provide more complete and specific information on the risks associated with them. This is particularly the case for purely experimental treatments and also for interventions that are not therapeutic, such as cosmetic surgery. In these cases, the physician must also disclose all risks, including possible and rare risks.
The obligation to obtain free and informed consent from the patient
The reason for the physician's obligation to inform is to provide patients with the information they need to make an informed and informed decision about the treatment and care available to them.
This obligation to obtain consent is an ongoing process. This is why the patient must be kept informed of all the new elements relating to his state of health and to the treatments he undergoes.
The obligation of confidentiality
The doctor owes his patients an obligation of confidentiality. This obligation covers both the information disclosed by the patient and the facts that the doctor sees for himself in the context of their professional relationship.
Professional secrecy belongs to the patient and not to the doctor. The doctor can disclose what has been entrusted to him only if his patient has waived confidentiality or if a provision of the law allows it. For example, the Public Health Act requires that certain diseases be declared obligatory.
However, in case of higher interest related to the health of the patient or his entourage, the doctor may disclose certain confidential information.