AMA Journal of Ethics. November 2015
This month in Journal of Ethics
For millennia, physicians enacted their professional mandate to “put the best interest of the patient foremost” by doing everything possible for that patient. Within the past few decades, however, we have learned that doing everything possible is not always in the patient’s best interest. Moreover, the medical profession has come to recognize that physicians have an ethical obligation to be prudent stewards of health care resources. In other words, we simply cannot afford to do everything for every single patient. Therefore, how physicians deliver high-value care that achieves good patient outcomes at reasonable cost, while upholding the primacy of the patient-physician relationship, can prove challenging. Contributors to the November 2015 issue of AMA Journal of Ethics help us think through clinical tensions and ethical dilemmas that surface as physicians endeavor to practice high-value care.
The Era of High-Value Care Sri Lekha Tummalapalli, MD, MBA A new ethos for practicing medicine emphasizes reducing medical errors, minimizing waste, containing costs, and improving adherence to quality metrics.
Grow a Spine, Have a Heart: Responding to Patient Requests for Marginally Beneficial Care Commentary by Bjorg Thorsteinsdottir, MD, Annika Beck, and Jon C. Tilburt, MD, MPH Good clinicians understand why a patient is asking for a test or treatment, and their skillful counseling can often stem the tide of requests for marginally beneficial tests and procedures.
Countering Medicine’s Culture of More Hyung J. Cho, MD Countering the prevailing thought that more medical testing and treatment is always better can be achieved by creating a forum for open discussion of costs and value to prevent patient harm from overuse.
December Clinical Research Ethics
January Promises and Challenges in Patient- and Family-Centered Care
February Liver Transplant Ethics: From Donation to Allocation
March Bed to Bench: Medicine and the Law
April Medicine and Disability
May Medical Ethics Consultations
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