Navigation Links
Internists recommend principles on role of governments in regulating patient-physician relationship
Date:8/8/2012

(Washington) The American College of Physicians (ACP) today released a paper, Statement of Principles on the Role of Governments in Regulating the Patient-Physician Relationship, which recommends principles for the role of federal and state governments in health care and the patient-physician relationship.

"The physician's first and primary duty is to put the patient first," David L. Bronson, MD, FACP, president of ACP, said. "To accomplish this duty, physicians and the medical profession have been granted by government a privileged position in society."

Dr. Bronson noted, though, that "some recent laws and proposed legislation appear to inappropriately infringe on clinical medical practice and patient-physician relationships, crossing traditional boundaries and intruding into the realm of medical professionalism."

Pointing to examples in ACP's paper, he expressed concern about laws that interfere, or have the potential to interfere, with appropriate clinical practice by:

  • prohibiting physicians from discussing with or asking their patients about risk factors that may affect their health or the health of their families, as recommended by evidence-based guidelines of care;
  • requiring physicians to discuss specific practices that in the physician's best clinical judgment are not individualized to the patient;
  • requiring physicians to provide diagnostic tests or medical interventions that are not supported by evidence or clinical relevance; or
  • limiting information that physicians can disclose to patients.

The paper, produced by ACP's Health and Public Policy with input from ACP's Ethics, Professionalism and Human Rights Committee, offers a framework for evaluating laws and regulations affecting the patient-physician relationship, rather than taking a position on the specific issues that are cited by lawmakers to impose particular restrictions or mandates.

ACP's paper states that:

  • "Physicians should not be prohibited by law or regulation from discussing with or asking their patients about risk factors, or disclosing information to the patient, which may affect their health, the health of their families, sexual partners, and others who may be in contact with the patient."
  • "Laws and regulations should not mandate the content of what physicians may or may not say to patients or mandate the provision or withholding of information or care that, in the physician's clinical judgment and based on clinical evidence and the norms of the profession, are not necessary or appropriate for a particular patient at the time of a patient encounter."

ACP recommends seven questions that should be asked about any proposed law to impose restrictions on the patient-physician relationship:

1. Is the content and information or care consistent with the best available medical evidence on clinical effectiveness and appropriateness and professional standards of care?

2. Is the proposed law or regulation necessary to achieve public health objectives that directly affect the health of the individual patient, as well as population health, as supported by scientific evidence, and if so, are there no other reasonable ways to achieve the same objectives?

3. Could the presumed basis for a governmental role be better addressed through advisory clinical guidelines developed by professional societies?

4. Does the content and information or care allow for flexibility based on individual patient circumstances and on the most appropriate time, setting and means of delivering such information or care?

5. Is the proposed law or regulation required to achieve a public policy goal such as protecting public health or encouraging access to needed medical care without preventing physicians from addressing the healthcare needs of individual patients during specific clinical encounters based on the patient's own circumstances, and with minimal interference to patient-physician relationships?

6. Does the content and information to be provided facilitate shared decision-making between patients and their physicians, based on the best medical evidence, the physician's knowledge and clinical judgment, and patient values (beliefs and preferences), or would it undermine shared decision-making by specifying content that is forced upon patients and physicians without regard to the best medical evidence, the physician's clinical judgment and the patient's wishes?

7. Is there a process for appeal to accommodate individual patients' circumstances?

By insisting that such questions be asked of proposed laws before a decision is made on their adoption, legislators will have appropriate guidance before enacting ill-considered laws that "can cause grave damage to the patient-physician relationship and medical professionalism and undermine the quality of care," concluded Dr. Bronson.


'/>"/>

Contact: David Kinsman
dkinsman@acponline.org
202-261-4554
American College of Physicians
Source:Eurekalert

Related medicine news :

1. Internists in Washington to discuss patient and professional issues in meetings on Capitol Hill
2. Internists express support for new payment and delivery models as basis for replacing SGR
3. Internists say physician-led quality initiatives could be solution to Medicare payment problems
4. Women Less Apt Than Men to Get Recommended Daily Exercise
5. Study recommends ways to evaluate end-of-life care in nursing homes
6. Study Recommends Putting Your Left Face Forward
7. Journals and pharma collaborate on new recommendations
8. AMA committee recommendations on doctor fees set by Medicare are followed 9 times out of 10
9. Experts recommend men at risk for osteoporosis undergo bone density testing
10. Task force recommends new lung cancer screening guidelines
11. US mammograms decline after task force recommendation, Mayo Clinic finds
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/17/2017)... ... , ... Advice Media, the industry leader in digital marketing for medical practices, has been recognized ... included in the Inc. 5000 for the second time in two years. Shawn Miele, Chief ... 5000 rankings for the second year in a row. It’s extremely difficult to make this ...
(Date:8/17/2017)... ... August 17, 2017 , ... ... Group, a Florida-based oncology business advisor to oncology practices, announced today the results ... amount of attributable savings from resolving critical clinical issues that would have otherwise ...
(Date:8/16/2017)... , ... August 16, 2017 , ... An August 3rd article on Reuters ... subject of a report in JAMA (the Journal of the American Medical Association). The study ... able to achieve BMIs under 30, when compared to patients with lower BMIs. At present, ...
(Date:8/16/2017)... (PRWEB) , ... August 16, 2017 , ... Any ... Inc. 5000. The company ranked #4429 on the newly released, 36th annual Inc. ... represents a unique look at the most successful companies within the American economy’s most ...
(Date:8/16/2017)... ... 16, 2017 , ... QualDerm Partners , a company ... announced Cumberland Skin Surgery and Dermatology has joined the company as ... both Hermitage and Lebanon, Tennessee, provides comprehensive general dermatology and skin cancer care ...
Breaking Medicine News(10 mins):
(Date:8/7/2017)... Aug. 7, 2017  Diplomat Pharmacy, Inc. (NYSE: DPLO), the ... quarter ended June 30, 2017.  All comparisons, unless otherwise noted, ... Second Quarter 2017 Highlights include: ... $1,089 million, an increase of 3.5% Total ... Gross margin of 7.5% versus 7.6% ...
(Date:8/3/2017)... SAN DIEGO , Aug. 3, 2017  Opioid ... crippling diseases driving up healthcare costs and threatening outcomes, ... the lab supply and IVD industry that support them, ... health care market researcher said that drugs of abuse, ... vendors and sessions at the organization,s 69th meeting in ...
(Date:8/2/2017)... , Aug. 2, 2017 CaryRx, a next-generation ... day delivery service for patients in the Washington ... traditional retail pharmacy by providing delivery of medications through the ... for future delivery or delivered within one hour to any ... are excited to bring this invaluable service to ...
Breaking Medicine Technology: