Trauma surgeons’ role in gun violence prevention is hampered by restrictions on funding for research with implications for public health interventions.
AMA J Ethics. 2018;20(5):475-482. doi:
10.1001/journalofethics.2018.20.5.msoc1-1805.
Society values both the appropriate use of new technological and management innovations and the maintenance of a strong personal and therapeutic relationship between patients and physicians. The medical-home model may be able to accomplish both.
Physician employment adds a practice management stakeholder to the patient-physician encounter, a stakeholder whose financial interests differ from those of physicians in solo or group practice.
Publicizing physician ordering information as a way of peer-pressuring hospital employees into cutting costs is likely to have unintended consequences.
Physicians need to manage expectations and clearly explain the prognosis of ICU patients to their families, particularly when the outcome is a negative one.