{"id":"057920a8-a754-4245-b2aa-a65c2d5241f2","slug":"what-happened-to-patient-first-and-do-no-harm-medical-principles","title":"What happened to “Patient first” and “Do no harm” medical principles?","authors":["Ramsis F. Ghaly","Nebojsa Nick Knezevic"],"abstract":"Background: Health care today is increasingly losing its focus on patients, as physicians' motivation declines amid new clinical practice guidelines that alienate patients and caregivers. The introduction of the relative value unit (RVU) system has shifted the practice of medicine towards a business model, prioritizing reimbursement over patient-centered care. Summary: The editorial discusses how the current healthcare system has led to a decline in quality patient care, with physicians feeling pressured to follow protocols that often do not align with holistic patient needs. It highlights the negative impact of RVUs on physician autonomy and the overall quality of care, leading to physician burnout and a focus on unnecessary procedures. Conclusion: To restore the principles of 'Patient First' and 'Do No Harm,' it is essential to liberate physicians from business constraints, allowing them to prioritize patient care. Emphasizing quality interactions and reducing nonclinical burdens will be crucial in reforming healthcare to better serve patients. Keywords: Patient First, Do No Harm, healthcare reform, physician autonomy, relative value units, burnout, quality care, clinical guidelines","thumbnailUrl":null,"publishDate":"2018-08-29T00:00:00.000Z","doi":"10.4103/sni.sni_447_17","categories":["Socio-Economics, Politics, and Medicine","Editorial"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2018/09/8995/SNI-9-176.pdf"}