လူနာ ႏွင့္ ဆရာဝန္ ဆက္ဆံေရး

[Junior]

က်န္းမာေရး ေစာင့္ေရွာက္မႈမွာ လူနာနဲ႔ ဆရာဝန္ ဆက္ဆံေရးက အေရးပါပါတယ္
ဒီေနရာကေန သူငယ္ခ်င္းတို႔ ဆရာဝန္ေတြနဲ႔ ဆက္ဆံရာမွာ ခံစားရတာေလးေတြကို ေဆြးေႏြးၾကည့္ရေအာင္။

[60BL!n]

ကြၽန္ေတာ္ ဆရာဝန္တစ္ေယာက္ပါဆုိတဲ့ ေၾကညာကုိ ႀကိဳက္ပါသလား ခင္ဗ်ား

[steve]

Yes, doctor-patient relationship is very important when we go together to achieve a goal. Doctor must show sensitivity and empathy. Doctor should understand patient's family situation.

Treating a patient should not be ordering something, should not be commanding or demanding. It should be patient centred approach. That means we discuss about medical condition. We offer the treatment options including their pros and cons. and we give the patient chance to choose. That is what we do in practice.

Unfortunately, until now, I heard that many consultants in Burma are still doing Disease centred approach or Own Ego centred approach, rather than patient centred approach.

[Junior]

Thanks for your reply, Mr. Steve.
You said that here, we practice disease centered approach or own ego approach rather than patient centered approach. May be, but it is not the fault of our doctors only. It is because of our country situations.
1stly, Most of the doctors in Myanmar are living in two lives, one is government service and one is in private hospital. It is because of insufficient salary. So they have no time to practice patient centered approach because it needs time to counsel the patient a lot.
2ndly, The socio-economic and educational status of people here are not favour very well as most of they are lack of health education.
3rdly, the investigation and resources available here are not fit to standardize the current international guidelines of management.

These are the main things I think why we can't practice as you mentioned.


steve said:

Yes, doctor-patient relationship is very important when we go together to achieve a goal. Doctor must show sensitivity and empathy. Doctor should understand patient's family situation.

Treating a patient should not be ordering something, should not be commanding or demanding. It should be patient centred approach. That means we discuss about medical condition. We offer the treatment options including their pros and cons. and we give the patient chance to choose. That is what we do in practice.

Unfortunately, until now, I heard that many consultants in Burma are still doing Disease centred approach or Own Ego centred approach, rather than patient centred approach.

[Junior]

ဘာကို ေမးတာလဲ ဆိုတာ သိပ္မရွင္းပါဘူး။
ေၾကျငာအရ ဆိုရင္ေတာ့ သိပ္ ဆြဲေဆာင္မႈ မရွိတဲ့ ေၾကာ္ျငာပါ။
လက္ေတြ႕မွာ ဆရာဝန္ပါလို႔ ေျပာစရာမလိုပဲ ေဆးေသာက္ၾကည့္ပါလားလို႔ပဲ ေျပာၾကမွာပါ။ ေၾကာ္ျငာဆိုေတာ့ ဆရာဝန္ေတာင္ သူ႔ေဆးကို ေဆာင္ထားတယ္ လို႔ ေျပာခ်င္တာ ျဖစ္မွာ။ ဆရာဝန္ေတြကို ေၾကာ္ျငာမွာ ထည့္သံုးတာ ဆရာဝန္ေတြရဲ့ က်င့္ဝတ္ကို ထိခိုက္သလားဆိုတာေတာ့ က်ေနာ္လည္း ေသခ်ာမသိပါဘူး။ ေၾကာ္ျငာဆိုတာ ေက်ာ္ေအာင္ ညာၾကတာပါပဲေလ။

60BL!n said:

ကြၽန္ေတာ္ ဆရာဝန္တစ္ေယာက္ပါဆုိတဲ့ ေၾကညာကုိ ႀကိဳက္ပါသလား ခင္ဗ်ား

[60BL!n]

ဆရာ၀န္ တစ္ေယာက္ကုိ ေၾကာ္ညာမွာ ထည့္သံုးသြားတာကုိ သေဘာမက်တာပါ...
ပုိဆုိးတာက သူကုိယ္ သူ ေၾကာ္ညာသြားတာကုိေပ့ါ :P

[steve]

Hi mate!

We all know junior is a doctor. For me, I respect all professionals, from cleaners, carpenter, lawyers to politicians. They all have their own role in society. If you reach a level of a proper professional field, you would understand more what I am trying to say.

Doctor has the right to say he or she is a doctor. At the same time, A librarian has the right to say he or she is a librarian. If you are a chief executive of a super market, you have the right to say you are what.

I have a bit concern about your attitude.


60BL!n said:

ဆရာ၀န္ တစ္ေယာက္ကုိ ေၾကာ္ညာမွာ ထည့္သံုးသြားတာကုိ သေဘာမက်တာပါ...
ပုိဆုိးတာက သူကုိယ္ သူ ေၾကာ္ညာသြားတာကုိေပ့ါ :P