Any advice is really helpful!! thanks in advance!!
Good surgeons should be encouraged to take on tough cases, not just safe, routine ones. Publishing an individual surgeon’s mortality rates may have the opposite effect.
Explain what this statement means. Argue to the contrary. To what extent do you think league tables should change a surgeon’s behavior?
The above statement implies that surgeons should have the duty to undertake tough cases in addition to the routine cases that usually have low mortality rates. In addition, individual surgeon’s mortality rates should not be published because this would deter excellent surgeons from taking on tough and hard cases which involve higher risk.
Contrary to the statement, there are reasons in which individual surgeon’s mortality rates should be published. It is quoted from the General Medical Guidelines that it is the doctor’s duty to try the best to treat all patients, regardless of the difficulty of the cases. Publishing the result will certainly encourage doctors to work harder to deliver better treatment in order to minimise the mortality rate and, therefore, preserve their reputation in the working place. In the short run, the effectiveness of the overall treatment will increase and patients will experience a higher satisfaction in their treatment.
However, publishing the league tables, will, to some extent, change a surgeon’s behavior. For example, a doctor will want to preserve his or her reputation by taking safe and routine cases only. The doctor will leave the risky cases alone because those cases will put the doctor into disadvantage in the league table. This type of act exactly contradicts the Hippocratic Oath, which states that all patients should be treated not be discriminated unfairly. In addition, publishing the league tables will, in a long run, impede the advance of medical treatment because less surgeons are willing to risk to take on tough cases and improve their surgical techniques and skills.
In conclusion, publishing the league tables may encourage the doctors to work harder to deliver first class treatment due to the existence of competition and reputation in the work place. On the contrary, it may have the opposite effect because it would deter good doctors from taking risky cases, since the mortality rate of those cases are significantly higher than that of the routine cases. A balance should be found between encouraging doctors to work harder and undertake tough cases in order to improve their technical skills.