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Ending the doctor-patient relationship.
Kirk Lehman1, Vinuri Edirisinghe1
1Bond University, Robina, QLD, Australia.
Summary
This guide offers doctors a step-by-step process for terminating therapeutic relationships, ensuring professional and legal obligations are met. It covers practical steps for managing challenging patient relationships and ensuring continuity of care.
Area of Science:
- Medical Practice Management
- Professional Ethics
Background:
- Terminating therapeutic relationships presents significant challenges for medical practitioners.
- Reasons for termination include patient's inappropriate behavior, assault, or legal threats.
Purpose of the Study:
- To provide a visual, step-by-step guide for terminating therapeutic relationships.
- To ensure medical practitioners adhere to professional and legal obligations.
Main Methods:
- The guide outlines practical steps for practitioners.
- Recommendations align with those from medical indemnity organizations.
Main Results:
- Key steps include maintaining contemporaneous notes, formal written communication with patients and primary care physicians, and ensuring healthcare continuity.
- Communication with relevant authorities is advised when appropriate.
Conclusions:
- Termination is reasonable when a practitioner's ability to manage a patient is compromised by emotional, financial, or legal factors.
- Adherence to recommended practical steps facilitates safe and ethical termination of the therapeutic relationship.
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