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6 Commercialisation of health care, the clinical practice
  1. Ebtisam Elghblawi
  1. MH, Tripoli, Libya


Medicine has always been known for it is oaths, and ethics. It is hypothetical to encourage discussion and abolish the gap in the conflict between medical-ethical principles and a dangerous development through economisation, commercialisation and industrialisation of patient care.

It’s essential to take patient‘s welfare as the pivotal measure of medicine. It is noticeable how healthcare markets for care and where commodification, consumerism and care go in line, strongly encouraged, without a through evidence-based research results.

Studies showed that excessive consumerism, power asymmetries are not mitigated but patient vulnerability shapes the whole patient-doctor relationship.

For example, the recent use of microneeds (a minimal invasive breaking top skin layer, to improve elasticity, by stimulating elastin-collagen remodelling, and improving skin texture, tone and aging), is exploited in the cosmeceutical industry unreasonably.

The current growing recognition of the high tech era, and gross use of social media can influence public perceptions profoundly and their consciousness without weighting the scientific benefits-risks. Most of them are looking for an interesting and intriguing story that will help selling their markets to the public, at whatever cost.

Objective To draw boundaries around what is commercialisation of health care in the clinical setting?

To avoid expensive treatments that achieves marginal benefits.

To avoid promotional medicine.

To implement a good medical practice, with evidence based medicine, ethic and morality.

Method It is essential to adopt a new agenda for stimulating any innovation in healthcare and to avoid the new emergence of personalised medicine in the clinical setting.

It is very important to stipulate that the scientific stories should be factually accurate, how it was portrayed, skewed picture of benefits over risks and reflect the reality without deceiving.

Additionally, the prevalent image of science is to deliver the whole trust and nothing else than the truth no matter what. Thus, the scientific community should be acquainted with the significance of maintaining impartial grounds of public information, to avoid mistrust and losing credibility.

Results Also, it is a moral conflict with its basic goal of providing a universal healthcare service. Therefore, there is a need for transparency, professionalism and unbiased actions within the clinical practice, with avoiding promotional medicine because the evolving evidence showed that social media played a gross role in promoting medicine for their own interest and personal gains.

Conclusions It is always raising awareness and fight against misuse and abuse, so every individual citizens will be in charge and is responsible solely for their own health. However, this cannot implemented solely as in many instances, there are healthcare professionals who are wholly after personal and private gain. Medicine after all is meant to produce more good than harm. And any healthcare professional must be the change they wish to see in the world, and start by themselves. Additionally, they should maintain a high standard of professionalism, because it is an overtly ethical problem for the profession. After all, professionals should not push patients to the mercy of their own greediness. In any case, professional’s behaviour would shape them, and would reflect how the service provided.

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