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Medical Ethics in the Modern Era
By Render S. Davis MHA, CHE
www.BusinessofMedicalPractice.com
Few areas of life are as personal as an individual’s health and people have long relied on a caring and competent physician to be their champion in securing the medical resources needed to retain or restore health and function.
Nevertheless, this philosophy is currently in flux.
Foundation of Medicine
For many physicians, the care of patients was the foundation of their professional calling. However, in the contemporary delivery organization, there may be little opportunity for generalist physician “gatekeepers” or “specialty hospitalists or intensivists” to form a lasting relationship with patients. These institution-based physicians may be called upon to deliver treatments determined by programmatic protocols or algorithm-based practice guidelines that leave little discretion for their professional judgment.
Personal Values
In addition, the physician’s personal values may be impeded by seemingly perverse financial incentives that may directly conflict with their advocacy role, especially if a patient may be in need of expensive services that may not be covered in their insurance plan, or are beyond the resources of a patient’s HSA or savings account.
Assessment
Marcia Angell, MD., noted during a PBS interview that the “financial incentives directly affecting doctors…put them at odds with the best interests of their patients … and it puts ethical doctors in a terrific quandary.”
Conclusion
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Filed under: Ethics | Tagged: Business of Medical Practice, intensivists, Marcia Angell, medical ethics, Patient Advocacy, Render S. Davis, specialty hospitalists, www.BusinessofMedicalPractice.com | 5 Comments »
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