The guidelines for patients’ eligibility for bariatric surgery have not changed since 1991, although recent data suggest there may be indications for broadening application of the surgery.
“Difficult” patient encounters can be exacerbated by procedural and technological infrastructure that increases access to electronic health records (EHRs).
AMA J Ethics. 2017; 19(4):374-380. doi:
10.1001/journalofethics.2017.19.4.stas1-1704.
A discussion of the ethical issues raised by a patient’s request for off-label, prophylactic bariatric surgery to prevent diabetes mellitus type 2 (DM type 2).
A discussion of the ethical issues raised by a patient’s request for off-label, prophylactic bariatric surgery to prevent diabetes mellitus type 2 (DM type 2).
The delivery of just health care requires that physicians consider patients' financial circumstances and understand their values, but also that patients make health care a priority.
Putting the interest of patients first means attending to what the patient thinks is most important as well as treating medically significant symptoms and conditions.