Even apparently simple instructions can become less simple when the person receiving them is frightened, unwell, in pain, or overwhelmed by information.
I use Bahasa Malaysia daily with my colleagues and patients. But clinical reality demands pragmatism, not dogma. When dealing with an anxious or illiterate grandmother, forcing a rigid linguistic template isn't patriotism; it's a clinical hazard.
Patients should not feel that their care is compromised by cost considerations, nor should they be exposed to unnecessary treatments driven by system inefficiencies. Achieving this balance requires trust.
To hit a 4-hour ETD clearance target at Queen Elizabeth Hospital, patients are pushed out of the emergency room and dumped into a multidisciplinary ward, regardless of their diagnosis or stability. Staff who try to delay unsafe admissions are threatened.
Insurers' directives to raise the quota of outpatients over inpatients for certain illnesses, including dengue, may subtly undermine medical judgement. Dengue can worsen rapidly. When insurers apply pressure to reduce admissions, the safety margin narrows.
Citing CodeBlue's poll, Bayan Baru MP Sim Tze Tzin warns insurance companies that interfering with clinical decisions and denying, delaying or revoking coverage may be illegal. "Insurance fails to protect patients at a time when they most need protection."
Hospitals, both public and private, and doctors should be mindful of the legal position whenever patients request access to their medical records, according to Dr Milton Lum.
A citizen raises two incidents of allegedly substandard care provided to a patient at two public hospitals' emergency departments in Selangor. The writer demands for patients' rights to be protected, such as the right to view their case files and notes.