PATIENT’S DIFFICULTIES WITH HOSPITAL

Probably the common complaint about quality of medical care today concerns the
dehumanization of treatment. Patients are annoyed by curtness on the part of an overworked
nurse or a physician whose manner is a bit too brisk: patients sometimes complain of being
treated as a diseased organ rather than a whole person.
The worst, there are instances when the patients are not given adequate explanation of their
condition, of the procedure being used to diagnose it, or of the risk involved in certain cause
of treatment. Directions of taking drugs and information about their side effects may be in
adequate as well. In an effort to improve these aspects of patient care, the American Hospital
Association has issued a “patient’s bill of right”.
A further problem is that of infrasonic (doctor caused) and nosocomial (hospital caused)
illness problems – difficulties experienced by certain patients as a result of their contact with
health institution. These mishaps include fall from hospital beds, adverse drug reactions,
inappropriate treatment due to inaccurate lab test, anesthetic explosions, shocks from
electrical apparatus, and rare – but frequently fatal – surgical errors. But the most common
problems are infections passed on to the patient via hospital staff, dressing, injections, and
visitors.
Studies by the Federal Centers for Disease Control reveal that 5% of patients hospitalized in
the United States contact nosocomial (hospital-acquired) infections. The estimated direct cost
of these infections is in excess of $ 1 billion each year; the direct cost to each patient is about
$700. These infections prolong hospital stays by an average of five days. In addition, 3% of
nosocomial infections result directly in the death of the patient.

KESULITAN PASIEN DENGAN RUMAH SAKIT

Mungkin keluhan umum tentang kualitas perawatan medis saat ini menyangkut
dehumanisasi pengobatan. Pasien terganggu oleh kekejaman dari perawat yang terlalu
banyak bekerja atau dokter yang sikapnya agak terlalu cepat: pasien terkadang
mengeluh diperlakukan sebagai organ yang sakit daripada sebagai manusia seutuhnya.
Yang terburuk, ada kasus ketika pasien tidak diberikan penjelasan yang memadai
tentang kondisi mereka, prosedur yang digunakan untuk mendiagnosisnya, atau risiko
yang terlibat dalam penyebab pengobatan tertentu. Petunjuk minum obat dan
informasi tentang efek sampingnya mungkin cukup juga. Dalam upaya untuk
meningkatkan aspek perawatan pasien ini, American Hospital Association telah
mengeluarkan "tagihan hak pasien".
Masalah selanjutnya adalah masalah penyakit infrasonik (disebabkan oleh dokter) dan
nosokomial (disebabkan oleh rumah sakit) – kesulitan yang dialami oleh pasien
tertentu sebagai akibat dari kontak mereka dengan institusi kesehatan. Kecelakaan-
kecelakaan ini termasuk jatuh dari ranjang rumah sakit, reaksi obat yang merugikan,
pengobatan yang tidak tepat karena tes laboratorium yang tidak akurat, ledakan
anestesi, kejutan dari peralatan listrik, dan kesalahan bedah yang jarang – tetapi
seringkali fatal. Tetapi masalah yang paling umum adalah infeksi yang ditularkan
kepada pasien melalui staf rumah sakit, pakaian, suntikan, dan pengunjung.
Studi oleh Pusat Pengendalian Penyakit Federal mengungkapkan bahwa 5% pasien
yang dirawat di rumah sakit di Amerika Serikat terkena infeksi nosokomial (didapat di
rumah sakit). Perkiraan biaya langsung dari infeksi ini adalah lebih dari $ 1 miliar
setiap tahun; biaya langsung untuk setiap pasien adalah sekitar $700. Infeksi ini
memperpanjang rawat inap rata-rata lima hari. Selain itu, 3% infeksi nosokomial
mengakibatkan kematian pasien secara langsung.

Jawablah pertanyaan berikut dengan singkat.

1. Apa gagasan utama paragraf pertama?
keluhan umum tentang kualitas perawatan medis menyangkut
2. Apa hal yang paling tidak memuaskan dari pelayanan rumah sakit saat ini?
dehumanisasi pengobatan.
3. Apa yang dilakukan American Hospital Association untuk meningkatkan kinerja
rumah sakit?
4. Bagaimana klasifikasi masalah pasien sesuai dengan penyebabnya?
5. Apa arti dekat dari kata “aparat”?
6. Dapatkah Anda menyebutkan contoh penyakit dan masalah nosokomial? Jelaskan
masing-masing contoh secara singkat!
7. Yang menyebabkan kematian pasien berdasarkan teks?
8. Bagaimana pandangan umum dokter dan perawat terhadap penyakit pasien?
9. Apa saja hak pasien di rumah sakit?
10. Menurut Anda, apa komentar Anda tentang perlakuan tidak sopan terhadap dokter
atau staf rumah sakit?
Menurut kami seharusnya pasien menurut pada SOP rumah sakit dan lebih
menghargai para tenaga medis karena mereka juga sudah melakukan usaha
semaksimal mungkin dan tetap berpegangan pada kode etik kedokteran

Exercise 1
Answer the following question briefly.
1. What is the main idea of the first paragraph?
common complaint about quality of medical care
2. What is the most unsatisfactory thing from the hospital service today?
dehumanization of treatment
3. What does American Hospital Association do to improve their works to the hospital?
the American Hospital Association has issued a “patient’s bill of right”.
4. What is the classification of patient’s problems in accordance with the causes?
infrasonic (doctor caused) and nosocomial (hospital caused)
5. What is the close meaning of the word “apparatus”?
Health workes
6. Can you mention the examples on nosocomial illness and problems? Explain of each
example briefly!
7. Which causes the patient death based on the text?
3% of nosocomial infections
8. What is the common view of physicians and nurses towards the patients’ diseases?
 Doctors can find out the patient's pain complaints.
 Doctors focus on treating general to specific symptoms and disease in patients.
 Patients suffering from certain diseases will be referred by general practitioners to
specialists.
 the doctor explains in full about the medical action plan that will be carried out, can
ask for the opinion of another doctor (second opinion)
9. What are the patient’s rights in hospital?
1. Obtaining information about the rules and regulations that apply in the Hospital
2. Obtaining information about the rights and obligations of the patient
3. Obtain humane, fair, honest and non-discriminatory services
4. Obtain quality health services in accordance with professional standards and standard
operating procedures;
5. Obtain effective and efficient services so that patients are protected from physical and
material losses;
6. File a complaint on the quality of service obtained;
7. Choose a doctor, dentist, and treatment class in accordance with his wishes and the
regulations that apply in the Hospital;
8. Asking for consultation about the disease he is suffering from to other doctors who
have a Practice License (SIP) both inside and outside the Hospital
9. Obtain privacy and confidentiality of the illness, including medical data;
10. Obtain information which includes the diagnosis and procedures for medical
treatment, the purpose of medical action, alternative actions, risks and complications that
may occur, and the prognosis for the actions taken as well as the estimated cost of
treatment;
11. Giving approval or refusing the actions to be taken by Health Workers;
12. Accompanied by his family in critical condition;
13. Performing worship according to his religion or belief as long as it does not disturb
other Patients;
14. Obtaining his own safety and security while in hospital treatment;
15. Submit proposals, suggestions, improvements to the Hospital's treatment of him;
16. Refuse spiritual guidance services that are not in accordance with their religion and
beliefs;
17. Sue and/or sue the Hospital if the Hospital is suspected of providing services that are
not in accordance with standards, both civil and criminal;
18. Complaining about hospital services that are not in accordance with service standards
through print and electronic media in accordance with the provisions of laws and
regulations.
10. According to you, what is your comment about impolite treatment of the doctors or
hospital staff?

11.In our opinion, patients should comply with

hospital SOPs and respect medical staff more
 because they have also done their best and
adhered to the medical code of ethics.

Exercise 2
Match Table 1 with Table 2
Table 1 Table 2
1. The heart a. Psychiatry
2. The skin b. Radiology
3. The stomach and intestines c. Rheumatology
4. The kidneys d. Cardiology
5. The brain, nerves, and muscles e. Dermatology
6. Cancer f. ENT
7. The eye g. Gastro-enterology
8. Mental illness and emotional disturbance h. Neurology
9. The joint and surro, undying tissue i. Nephrology
10.The ears, nose, throat, and sinuses j. Ophthalmology
k. Oncology

Exercise 3
Write your opinion (at least 150 words)
1. Do you think Public Health Center (Puskesmas) has served the best to the society
today?

Note:
Do all the exercises with your partner. Then submit to
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