Navigation Links
Grateful patient philanthropy and the doctor-patient relationship

Physicians associated with "patient philanthropy" financial donations from grateful patients to a medical institution are concerned with how these contributions might affect their own behavior and attitudes, and how they might impact the doctor-patient relationship. A new study by Scott Wright, MD and Joseph A. Carrese, MD, MPH of Johns Hopkins University, and colleagues, explores this topic. The paper considers the perspectives of internal medicine physicians working in an academic medical center who have had experiences with these situations. Their findings appear in the Journal of General Internal Medicine, published by Springer.

The researchers conducted in-depth interviews with 20 physicians in the Department of Medicine at Johns Hopkins University. All of those interviewed had relationships with several patients who had made philanthropic contributions. They asked the doctors to describe their thoughts about ethical considerations that could be associated with grateful patient philanthropy. The analysis of the physicians' responses identified several ethical issues.

The number one ethical consideration was that many physicians felt as if their relationship with the patient had been transformed as a result of the philanthropic gift. Physicians were concerned that the purity of the physician-patient bond might be tainted or that patient expectations could change. The second most frequently-cited concern was the notion that physicians often feel unprepared, and even uncomfortable, in discussing financial support, even when the subject is broached by the patient.

Physicians also said that they may feel pressure to treat philanthropic patients differently than other patients as a way of demonstrating appreciation for the grateful patient's generosity. This was a noted source of discomfort for doctors. Several doctors also expressed concern about accepting gifts from sick patients, because although patients sincerely want to give, by virtue of their illness they may be in a vulnerable state.

Interestingly, despite the fact that these ethical concerns were raised, a majority of the physicians interviewed said that ultimately there were no ethical issues involved with the facilitation of grateful patient philanthropy since, at the end of the day, the decision to give lies with the patient.

The authors note that despite the ethical concerns reported in the paper, academic medical centers and their faculty are likely to increasingly pursue patient philanthropy. Accordingly, the authors conclude, "Institutions may wish to consider the issues described by our doctors to ensure that front line physicians are supported in these efforts, in ways that allow them to maintain their commitments to high ethical and professional standards."


Contact: Alexander K. Brown
Springer Science+Business Media

Related medicine news :

1. Grateful Teens May Have Less Risk for Depression, Other Problems
2. Patients health service use
3. Gaps in Care Found for Sickle Cell Disease Patients
4. Reduced intensity regimen prior to marrow transplant better for older leukemia patients
5. Novel therapeutic agents provide hope for patients with hard-to-treat blood disorders
6. More than a third of high-risk leukemia patients respond to an experimental new drug
7. Dr. Michael Reiss of Southern Nevada Chiropractic Helps Car Accident Patients with Neck or Back Pain by Providing Computerized Spinal Exam and a Copy of His Book
8. Studies challenge standards to improve treatment outcomes for patients with clotting disorders
9. Investigational agent targets gene signaling pathways to improve response for patients with CLL
10. Updated Clinical Results Show Experimental Agent Ibrutinib as Highly Active in CLL Patients
11. VABC Responds to Study on Use of Cholesterol Lowering Drug Statins on Cancer Patients
Post Your Comments:
(Date:10/13/2017)... York, NY (PRWEB) , ... October 13, 2017 , ... ... influential people in business to advocate for action towards gender equality at their inaugural ... views from around the globe, and reached a social audience of over 3 million. ...
(Date:10/13/2017)... ... 13, 2017 , ... Coveros, a leader in agile coaching ... contract by the Center for Medicare and Medicaid Services (CMS). The Enterprise Agile ... of Agile methodologies in a consistent and high value manner across CMS programs. ...
(Date:10/12/2017)... ... October 12, 2017 , ... CitiDent and San Francisco dentists, ... cutting-edge Oventus O2Vent technology. As many as 18 million Americans are estimated to ... breathing. Oral appliances can offer significant relief to about 75 percent of people ...
(Date:10/12/2017)... ... , ... The American College of Medical Informatics (ACMI) will present the 2017 ... Session of AMIA’s Annual Symposium in Washington, D.C. AMIA’s Annual Symposium is ... pioneer in the field of medical informatics, this prestigious award is presented to an ...
(Date:10/12/2017)... ... ... HMP , a leader in healthcare events and education, today announced that ... ‘Best B-to-B Healthcare Website.’ Winners were announced during the Eddie & Ozzie Awards luncheon ... editorial and design excellence across a range of sectors. This year’s program included the ...
Breaking Medicine News(10 mins):
(Date:10/12/2017)... DIEGO , Oct. 12, 2017 AVACEN ... recognized the company with their  2017 New Product Innovation Award ... based on extensive primary and secondary medical device market research ... Medical, through its first-to-market OTC, drug-free pain relief product, the ... unique approach to treating fibromyalgia widespread pain. ...
(Date:10/11/2017)... , Oct. 11, 2017  True Health, a ... amplified its effort during National Breast Cancer Awareness ... cancer risks. ... Oncology calculated that more than 10 million American ... mutations in BRCA1 or BRCA2 and have not had ...
(Date:10/5/2017)...  In response to the nationwide opioid epidemic, ... (AAOMS) released prescribing recommendations that urge ibuprofen – ... a first-line therapy to manage a patient,s acute ... Recognizing the value and importance of the ... Acute and Postoperative Pain Management" stresses that practitioners ...
Breaking Medicine Technology: