چکیده:
Imposing unnecessary costs on patients is inconsistent with the primary rights of patients as well as the inherent and historical dignity and honor of medical science and medical staff. Furthermore, all oaths, precepts, medical ethical charters, etc., throughout history have committed medical staff to prioritize the interests of the patient over their own and to exert their maximum efforts in treating and relieving patients' pain. In the phenomenon of fee-splitting, unfortunately, the fee-splitting physician or medical staff, contrary to the fundamental principles of all medical oaths on one hand and contrary to the inherent dignity and honor of the medical profession on the other, engages in unethical profiteering to the detriment of the patient and for their own benefit, which severely undermines the foundation of doctor-patient trust. According to the state systems and regulations of the Medical Council of the Islamic Republic of Iran, fee-splitting is also considered a clear case of medical negligence and is subject to organizational and legal prosecution, just as in many ethical codes overseeing the performance of the medical community and in the statutes of medical associations and the laws of medical councils in various societies, fee-splitting is considered unethical and sometimes illegal behavior; additionally, in the fifth paragraph of the oath for Iranian students and physicians, emphasis is placed on avoiding greed and safeguarding medical knowledge. Jurisprudential fatwas of religious authorities also consider the proceeds from fee-splitting to be illegitimate. In the statutes of the World Medical Association, in the section regarding conflict of interest, fee-splitting is mentioned and this phenomenon is considered reprehensible.
خلاصه ماشینی:
According to the state regulations and the medical system regulations of the Islamic Republic of Iran, fee splitting is also considered a clear case of medical malpractice and is subject to organizational and legal prosecution, just as in many ethical codes overseeing the performance of the medical community and in the statutes of medical associations and medical system laws in various societies, the issue of fee splitting has been considered unethical and sometimes illegal behavior.
Given the above titles, the ugliness and repulsiveness of fee splitting in medicine becomes clearer through unnecessary referrals of a suffering human being in need of specialized and professional capabilities, [contrasting with] the compassion, humanity, and altruism of the medical community (Schulte, 2006: 16; Thompson, 2004: 20-22) and is a clear instance of the emergence of a Conflict of Interest between physician and patient (Cook & Dickens, 2006: 192-197).
In chapter four of this association's statutes, which discusses professional relationships in medicine under the title CHAPTER FOUR PHYSICIANS AND COLLEAGUES, it addresses the following topics by presenting ethical standards regarding patient rights through the inclusion of a hypothetical case study (case study): 7 How physicians should behave toward one another; 8 Reporting the quality of unethical behavior of colleagues; 9 Identifying the primary ethical principles related to cooperation with others in patient care; 10 The quality of resolving disputes with other healthcare providers; And subsequently, it provides instruction on medical ethics standards regarding the above subjects concerning the referral of a patient to another colleague or other health system staff, clearly and explicitly providing a guideline on the prohibition of fee splitting: "A physician is obliged to cooperate with other healthcare providers for the treatment of the patient.
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