病院 や 医師 に 関する 一般 の 態度 感謝 の ある 患者 の 寄付 を 奨励 する
Reshma Jagsi1, Kent A Griffith1, Joseph A Carrese2
1University of Michigan, Ann Arbor.
JAMA
|July 22, 2020
まとめ
医療慈善に対する世論的な態度から 医者が患者さんの情報を 寄付するために共有するなど 一般的な資金集めのやり方は 受け入れられないことがわかります 感謝の気持ちを込めて 募金をするには 倫理的な指針が必要です
科学分野:
- 医療慈善活動
- 医学 の 倫理
- 世論調査
背景:
- 慈善事業は医療機関にとって不可欠ですが 倫理的な資金調達ガイドラインの 経験的証拠は稀です
- 感謝の気持ちで 患者さんから資金を集めることは よくあることですが 倫理的な限界について 国民の認識は 十分に理解されていません
研究 の 目的:
- 医療機関が感謝する患者から寄付を募る際の 特定の慣行に対する公衆の態度を評価する.
- 医療慈善のための倫理的指針の開発に情報を提供すること.
主な方法:
- Ipsos KnowledgePanelを通じて,米国の人口の代表的なサンプルにウェブベースの調査が行われました.
- この調査には一般集団と補足集団 (高所得者,がん患者,心臓病患者) が含まれていた.
- 描写的な分析は,寄付者,医師の関与,ギフト管理の特定,募集,感謝に関する態度を評価しました.
主要な成果:
- 回答者の有意な割合は,医師が患者の情報を許可なく共有すること (8.5%) や富検診 (9.9%) を容認できないと考えました.
- 患者の提案で医師が寄付について話し合うことは許される (79.5%),そうでない場合は受け入れられる人は少ない (14.2%).
- 献金に関する医師の議論は患者と医師の関係に害をもたらす可能性があると83%以上が信じており,大額の献金に対する承認には,迅速な予約 (26.0%) よりもより良い病院室 (50.1%) が含まれていた.
結論:
- 患者・ドナーを特定し,募集し,感謝するための法的に許容されるいくつかの一般的な方法を,米国の人口の大部分が否定しています.
- 調査結果は,現在の資金調達慣行と公衆の倫理的な期待の間のギャップを強調し,ヘルスケア慈善事業におけるより明確な倫理的指針の必要性を強調しています.
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