Culture of Disrespect

 

 

In a Culture of Disrespect, Patients Lose Out

 

When doctors tolerate a culture of disrespect, we aren’t just being insensitive, or obtuse, or lazy, or enabling. We’re in fact violating the first commandment of medicine.

• 
  The Scope of the Problem
  • Disruptive behavior
  • Humiliating, demeaning treatment of nurses, residents, and ...
  • Passive-aggressive behavior
  • Passive disrespect
  • Dismissive treatment of patients
  • Systemic disrespect
• The Effects of Disrespectful Behavior: Why Is It ...
• The Causes of Disrespectful Behavior
  • Endogenous factors
  • Exogenous factors
• Summary
• References
• Cited By

Part II

• Abstract
• Cultural Transformation
• A Leadership Challenge
  • Motivate and inspire
  • Establish preconditions for a culture of respect
  • Lead the establishment of policies regarding disrespectful ...
  • Facilitate engagement of frontline workers
  • Create a learning environment
• Responding to Disrespectful Behavior: Codes of Co...
  • Implementation
  • Reporting
  • Prevention of disrespect
• Cultivating a Culture of Respect

 

Disrespect goes far beyond the nurse-doctor patient interface with patients. We are leaving out the most disrespectful aspects of our present system. 

These are the under-insured and uninsured patients. 

The middle level managers with cookbook guidelines to denials and authorizations for diagnostic procedures, treatments and access to expensive pharmaceuticals.

The insurance company unreasonably denying treatments, the endless waiting in a phone queue only to be answered by a robot.

The informed consent written by attorneys that are unintelligible. The Medicaid system which treats recipients with disdain and rules that are byzantine, with addendums and empty promises of a safety net, obsolete and irrelevant poverty figures as well as month to month eligibility which obviates any form of managed care or case management.

The incompetent legislatures who rule from above with no concept of safe and/or effective healthcare.

The autocratic and dictatorial methods of the Department of Health and Human Services.