Ethics for Health Care Practitioners



Ethics for Health Care Practitioners

-Ethics and the business of health care

-Hospital relations

-Admission fee

-Assessments, compulsory

-Billing for housestaff and student services

-Economic incentives and levels of care

-Organized medical staff

-Physician-hospital contractual relations

-Staff privileges

-Communications and confidentiality issues

-Advertising

-Direct-to-consumer advertisements of prescription drugs

-Advertising and publicity

-Physician advisory or referral services by telecommunication

-Communication media: standards of professional responsibility

-Filming patients in health care settings

-Other issues regarding confidentiality

-Refer to bullet points on p. 304

-Fees and charges- should be based on the value of the service provided and not contingent on the outcome of a claim that does not relate to the value of the medical service.

-Fee splitting- payment by one physician to another solely for the referral of a patient, or payment from a source for using its services or supplies

-Physicians may forgive or waive patient co-payments, but they should be sure that such a waiver is in accordance with applicable law and with agreements with insurers

-Lien- a charge against real or personal property for the satisfaction of a debt or duty owed by law

-Professional courtesy- the practice of treating other physicians and their families free of charge or at a reduced fee

-Medical records

-Upon the request and proper written authorization of the patient, no physician should refuse to make records available to another physician treating the patient

-Physicians are obligated to retain patients’ records that may reasonably be of future value to patients, based upon the guidelines on p. 307

-Practice Matters

-Refer to the bullet points on p. 308-309

-Conflict of interest- a situation in which a person is faced with choosing between financial gain and his or her duty to provide the best possible care to patients

- Refer to court case

-Physician accused of soliciting bribes, p. 300

-Release of medical records to the media violates confidentiality, p. 304

-Physician reports bite, p. 305

-Psychologist allowed to testify, p. 308

-Deceased physician’s executor may not destroy records, p. 308

-Medical board’s decision on referrals is upheld, p. 310

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