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Ethical Guidance for Physicians and Health Care Institutions on Grateful Patient Fundraising: A Position Paper From
Lois Snyder Sulmasy1, T Brian Callister2, Isaac O Opole3
1American College of Physicians, Philadelphia, Pennsylvania (L.S.S.).
Annals of Internal Medicine
|September 25, 2023
Summary
Physician fundraising from patients, or grateful patient fundraising, presents ethical challenges. It can create pressure, affect patient relationships, and lead to conflicts of interest.
Area of Science:
- Medical Ethics
- Healthcare Management
Background:
- Physician solicitation of charitable donations from patients, known as grateful patient fundraising, is a growing practice.
- This practice raises significant ethical concerns impacting the patient-physician relationship and healthcare equity.
Purpose of the Study:
- To explore the ethical issues associated with grateful patient fundraising.
- To provide guidance on navigating these ethical complexities.
Main Methods:
- This paper is a position paper from the American College of Physicians.
- It involves an analysis of ethical considerations and potential conflicts of interest.
Main Results:
- Grateful patient fundraising creates ethical concerns including patient pressure and potential preferential treatment.
- Issues of fairness, confidentiality, and conflicts of interest are central to the ethical debate.
Conclusions:
- The unique position of physicians, with access to patient information, makes them effective fundraisers but also ethically vulnerable.
- Addressing these ethical issues is crucial for maintaining trust and integrity in patient care.
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