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Related Experiment Videos

Current models for clinical ethics consultation reimbursement

J La Puma1

  • 1Department of Medicine, Lutheran General Hospital, Park Ridge, IL.

Archives of Family Medicine
|December 1, 1993
PubMed
Summary

Most clinical ethics consultants offer their services pro bono. Some are compensated via private practice, salaries, or training programs, with managed care offering potential but ethically complex payment avenues.

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Area of Science:

  • Medical Ethics
  • Healthcare Management

Background:

  • The provision of clinical ethics consultation services is a growing field within healthcare.
  • Understanding the financial compensation models for these services is crucial for sustainability and ethical practice.

Purpose of the Study:

  • To investigate the current practices and perceptions regarding compensation for clinical ethics consultation services.
  • To identify potential avenues for financial remuneration for ethics consultants.

Main Methods:

  • A literature review on compensation for ethics consultation was conducted.
  • An informal telephone survey of 33 prominent clinical ethics consultants in American healthcare institutions was performed in late 1992.

Main Results:

Keywords:
Bioethics and Professional EthicsEmpirical Approach

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  • The majority of surveyed ethics consultants (88% response rate) donate their time and are not directly paid for consultation services.
  • Alternative compensation models include private practice billing, salaried arrangements, and income from ethics training programs.
  • Salaried positions within managed-care organizations show promise for paid consultation but present their own ethical considerations.

    • Conclusions:

    • Clinical ethics consultants often work without direct compensation, relying on volunteerism.
    • Managed care presents a potential, albeit ethically complex, pathway for compensated ethics consultation.
    • Balancing institutional cost-effectiveness with patient-centered ethical processes is a key challenge for paid consultants.