Physician Refusal or Withdrawal of Patient Treatment at Healthcare System of a University Hospital in Turkey

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M Karatas
G Sert
K Tetik
T Karatas
M Yalcinsoy
B Selcuk


The refusal of the physician to give treatment to the patient is the end of relationship between the physician and the patient. The withdraw is end of relationship which has begun between the physician and the patient. The refuse or withdraw of the patient treatment, which constitutes a perception like the same act, causes significant ethical problems in the provision of health care. We carried out our research to identify physicians' considerations. We conducted a survey study between Research Assistants working in Clinical Departments in Inonu University Turgut Ozal Medical Center and in the treatment of patients. In study, 81 (80.2%) physicians were the most important factor in the refusal of the physician to give treatment to the patient, the patient or relative physical violence application. The reason for the refused was the patient who had psychological stress exerted 12 (11.9%), the medical difficulty was 7 (6.9%) and the patient 1 (1.0%) did not trust the physician's knowledge. It is possible to say that the main reason for the refusal of the patient treatment or withdraw treatment is the physician's injury of the honour.


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Journal of Basic And Applied Research


Agarwal AK, Murinson BB. (2012). New Dimensions in Patient–Physician Interaction: Values, Autonomy, and Medical Information in the Patient-Centered Clinical Encounter. Rambam Maimonides Med J. 2012 Jul; 3(3): e0017.

Ayd?n E. (2006). Medical Ethics. Ankara. Gunes press. 2006.

Beauchamp TL, Childress JF. (1989). Principles of Biomedical Ethics. Third Edition. New York. Oxford University Press. 1989.

Cobanoglu N. (2009). Medical Ethics. Ankara. Eflatun press.2009.

Elcigil A. (2011). Ethical Dilemmas Which is Faced by Pediatric Palliative Care Nurse: Review. Turkiye Klinikleri J Med Ethics 2011;19(3):196-203.

Erdemir AD. (2005). Ethics Medical Ethics Principles of Medical Ethics and Ethics in Relation to Patient-Physician. Ed: Yurdadog BU. Virtue. Journal of Ataturk Kultur Merkezi. Ethics Special press. Ankara. 2005. 15;44:27-72.

Jawaid SA. (2015). Patient satisfaction, patient safety and increasing violence against healthcare professionals. Pak J Med Sci. 2015 Jan-Feb; 31(1): 1–3.

K?yak Y. (1987). Medical Ethics. Istanbul. Marmara University Press. 1987.

Kucuradi I. (2011). Ethics. Ankara. Institute of Turkey Philosophy press. 2011.

Metin S. (2010). Biomedical Ethics and Law. Istanbul. Levha press. 2010.

Morrison JL, Lantos JD, Levinson W. (1998). Aggression and Violence Directed Toward Physicians. J Gen Intern Med. 1998 Aug; 13(8): 556–561.

Sert G. (2004). Patient Right’s. Istanbul. Babil press. 2004.

Tofan G, Bodolica V, Spraggon M. (2013). Governance mechanisms in the physician–patient relationship: a literature review and conceptual framework. Health Expect. 2013 Mar; 16(1): 14–31.

Turkish Medical Ethics Regulation. (1960). Ankara. Resmi Gazete. 1960. no: 10436.

Veatch RM. (2010). The Basics of Bioethics. Translate Ed: Sefik Gorkey. AND press. 2010.