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Ethical and Professionalism Implications of Physician Employment and Health Care Business Practices: A Policy Paper From the American College of Physicians

ACP Ethics and Professionalism

The environment in which physicians practice and patients receive care continues to change. Increasing employment of physicians, changing practice models, new regulatory requirements, and market dynamics all affect medical practice; some changes may also place greater emphasis on the business of medicine. Fundamental ethical principles and professional values about the patient–physician relationship, the primacy of patient welfare over self-interest, and the role of medicine as a moral community and learned profession need to be applied to the changing environment, and physicians must consider the effect the practice environment has on their ethical and professional responsibilities. Recognizing that all health care delivery arrangements come with advantages, disadvantages, and salient questions for ethics and professionalism, this American College of Physicians policy paper examines the ethical implications of issues that are particularly relevant today, including incentives in the shift to value-based care, physician contract clauses that affect care, private equity ownership, clinical priority setting, and physician leadership. Physicians should take the lead in helping to ensure that relationships and practices are structured to explicitly recognize and support the commitments of the physician and the profession of medicine to patients and patient care.

CME/MOC:

Up to 1 AMA PRA Category 1 Credits ™ and MOC Points
Expires March 16, 2024   active

Cost:

Free to Members

Format:

Journal Articles

Product:

ACP Ethics and Professionalism

ACP is devoted to policy development and implementation on issues related to medical ethics and professionalism, and is a resource for ACP members and the public.

The ACP Ethics Manual is the foundation of College policy on medical ethics and professionalism. The Seventh Edition of the Manual was published in January 2019 in Annals of Internal Medicine (annals.org) where a 25-question quiz module is available for CME credits and MOC points.

Released: January 15, 2019

Re-released: January 15, 2022

Expires: January 15, 2025