Department of Orthopedic Surgery, New York University Langone Orthopedic Hospital, New York, NY.
J Bone Joint Surg Am. 2020 Jun 3;102(11):e53. doi: 10.2106/JBJS.19.01404.
There has been an upsurge in the number of practices owned by non-physicians. With orthopaedic surgery as the next frontier in this market, orthopaedists need to consider the ethical consequences of such acquisitions. The history and trends of practice ownership are reviewed alongside how laws shifted to reflect a changing health-care climate. The 4 tenets of bioethics (beneficence, nonmaleficence, autonomy, and justice) are explored with regard to practice acquisition by non-physician entities. Although non-physician-owned corporations and private equity firms provide liquidity to the health-care sector, there are ethical concerns that may ultimately impact patient care. Orthopaedic surgeons must be cautious when engaging in acquisitions with non-physician-owned entities, as the goals of each party may not align. This may yield situations that infringe on the basic principles of bioethics for both physician and patient.
非医师所有的医疗机构数量激增。随着骨科手术成为这个市场的下一个前沿领域，骨科医生需要考虑到这些收购的伦理后果。本文回顾了实践所有权的历史和趋势，以及法律如何转变以反映不断变化的医疗保健环境。本文探讨了生物伦理学的 4 个原则（善行、不伤害、自主和公正），以及非医师实体收购实践的问题。尽管非医师所有的公司和私募股权公司为医疗保健部门提供了流动性，但存在一些伦理问题，这些问题最终可能会影响患者的护理。骨科医生在与非医师所有的实体进行收购时必须谨慎，因为每个方的目标可能不一致。这可能会导致侵犯医生和患者的生物伦理基本原则的情况。
