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Related Concept Videos

Nursing Ethical Principles II01:27

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
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Ethical Issues01:27

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Nursing Ethical Principles I01:22

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The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Autonomy concerns with using contracts to enhance patient adherence.

Camila Losada Strassle1, Ben Schwan1, Benjamin E Berkman1

  • 1Department of Bioethics, National Institutes of Health, Bethesda, Maryland, USA.

Bioethics
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Summary

Patient nonadherence to chronic condition treatments is a major concern. This study explores the ethics of healthcare provider patient contracts that may deny future treatments for nonadherence.

Keywords:
adherencecompliancepatient contracttreatment agreement

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Area of Science:

  • Medical Ethics
  • Healthcare Policy
  • Patient Adherence Research

Background:

  • Chronic conditions require long-term adherence to medical advice for effective management.
  • Patient nonadherence to prescribed treatments poses a significant challenge in healthcare.
  • The development of long-term therapies highlights the need for improved patient compliance.

Purpose of the Study:

  • To examine the ethical considerations surrounding the use of patient contracts in managing chronic conditions.
  • To discuss the implications of contract provisions that link future treatment to patient adherence.
  • To provide an ethical analysis of a novel strategy employed by some US healthcare providers.

Main Methods:

  • Ethical analysis of patient contract strategies.
  • Review of existing literature on patient adherence and healthcare provider interventions.
  • Discussion of the ethical principles relevant to patient-provider agreements.

Main Results:

  • Patient contracts with adherence clauses are emerging as a strategy for managing nonadherence.
  • These contracts raise significant ethical questions regarding patient autonomy and beneficence.
  • The denial of future treatment based on nonadherence warrants careful ethical scrutiny.

Conclusions:

  • The implementation of patient contracts requires a thorough ethical evaluation.
  • Balancing therapeutic goals with patient rights is crucial when considering adherence-based contracts.
  • Further discourse on the ethical boundaries of patient contracts in chronic care is necessary.