Karnataka Implements Strict Rules on Private Practice for Government Doctors
The Karnataka government has issued a significant order restricting private practice by government doctors to out-patient department (OPD) services only. This move aligns with similar regulations already in place in Kerala, aiming to address concerns about patient care in public hospitals.
New Regulations for Private Medical Practice
Under the new guidelines, government doctors working under the Health and Family Welfare Department are now prohibited from providing in-patient treatment (IPD) in their private practices. The order explicitly states that treating in-patients at private hospitals may interfere with their regular government duties, making such practices strictly forbidden.
Doctors are permitted to continue OPD services in their private practice, but with several important conditions:
- Private OPD services must not disrupt regular government medical services
- Private practice must occur outside official duty hours
- Doctors can practice at only one declared private clinic or hospital
- Details of the private practice location must be declared to the government
Addressing Patient Care Concerns
The government order cites multiple concerns that prompted these restrictions. Authorities have noted frequent complaints about government doctors diverting patients who seek in-patient treatment at government hospitals to their private practices. This practice has reportedly led to instances of neglected care in government hospitals, with some cases even resulting in patient deaths.
The Karnataka Lokayukta has raised concerns about doctors' absence from their government duties, while the Karnataka Administrative Reforms Commission has recommended restrictions on private practice to ensure priority to public service.
Enforcement and Penalties
The order establishes clear consequences for violations of the new regulations. Any breach of these conditions will be treated as misconduct and will attract disciplinary action under the relevant Karnataka Civil Services Rules. Additionally, other legal actions permissible under law may be pursued against violators.
An under secretary in the health department signed the order, which references similar restrictions already implemented in Kerala. In Kerala, private practice is permitted only for OPD services under strict conditions, creating a regional precedent for Karnataka's approach.
This regulatory change represents a significant shift in how government doctors in Karnataka can engage in private medical practice, with the primary goal of ensuring better patient care in public healthcare facilities and maintaining the integrity of government medical services.
