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它的价值取决于你能卖多少钱:临床伦理学家的就业和薪酬模式调查。

It's Worth What You Can Sell It for: A Survey of Employment and Compensation Models for Clinical Ethicists.

机构信息

Department of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, Rochester, MI, USA.

Department of Pediatrics, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA.

出版信息

HEC Forum. 2024 Sep;36(3):405-420. doi: 10.1007/s10730-023-09509-y. Epub 2023 Aug 5.

DOI:10.1007/s10730-023-09509-y
PMID:37542667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11283419/
Abstract

This article reports results of a survey about employment and compensation models for clinical ethics consultants working in the United States and discusses the relevance of these results for the professionalization of clinical ethics. This project uses self-reported data from healthcare ethics consultants to estimate compensation across different employment models. The average full-time annualized salary of respondents with a clinical doctorate is $188,310.08 (SD=$88,556.67), $146,134.85 (SD=$55,485.63) for those with a non-clinical doctorate, and $113,625.00 (SD=$35,872.96) for those with a masters as their highest degree. Pay differences across degree level and type were statistically significant (F = 3.43; p < .05). In a multivariate model, there is an average increase of $2,707.84 for every additional year of experience, controlling for having a clinical doctorate (ß=0.454; p < .01). Our results also show high variability in the backgrounds and experiences of healthcare ethics consultants and a wide variety of employment models. The significant variation in employment and compensation models is likely to pose a challenge for the professionalization of healthcare ethics consultation.

摘要

本文报告了一项关于在美国工作的临床伦理顾问的就业和薪酬模式的调查结果,并讨论了这些结果与临床伦理专业化的相关性。该项目使用医疗保健伦理顾问的自我报告数据来估算不同就业模式下的薪酬。具有临床博士学位的受访者的全职年薪平均值为 188310.08 美元(SD=88556.67),具有非临床博士学位的受访者为 146134.85 美元(SD=55485.63),而最高学位为硕士的受访者为 113625.00 美元(SD=35872.96)。不同学位水平和类型的薪酬差异具有统计学意义(F=3.43;p<.05)。在多元模型中,在控制具有临床博士学位的情况下,每增加一年工作经验,平均薪酬增加 2707.84 美元(β=0.454;p<.01)。我们的结果还显示,医疗保健伦理顾问的背景和经验以及各种就业模式存在高度差异。就业和薪酬模式的显著差异可能会对医疗保健伦理咨询的专业化构成挑战。

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本文引用的文献

1
An Argument for Standardized Ethical Directives for Secular Healthcare Services.为世俗医疗保健服务制定标准化伦理指令的论点。
J Clin Ethics. 2022 Fall;33(3):175-188.
2
Ethics Consultation in U.S. Hospitals: Adherence to National Practice Standards.美国医院的伦理咨询:对国家实践标准的遵循
AJOB Empir Bioeth. 2022 Jan-Mar;13(1):10-21. doi: 10.1080/23294515.2021.1996118. Epub 2021 Nov 18.
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Ethics Consultation in United States Hospitals: Assessment of Training Needs.美国医院的伦理咨询:培训需求评估。
J Clin Ethics. 2021 Fall;32(3):247-255.
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Health care ethics programs in U.S. Hospitals: results from a National Survey.美国医院的医疗保健伦理计划:全国调查结果。
BMC Med Ethics. 2021 Jul 29;22(1):107. doi: 10.1186/s12910-021-00673-9.
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Ethics consultation in United States hospitals: a national survey.美国医院的伦理咨询:一项全国性调查。
Am J Bioeth. 2007 Feb;7(2):13-25. doi: 10.1080/15265160601109085.
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Effect of ethics consultations on nonbeneficial life-sustaining treatments in the intensive care setting: a randomized controlled trial.伦理咨询对重症监护环境中无意义生命维持治疗的影响:一项随机对照试验。
JAMA. 2003 Sep 3;290(9):1166-72. doi: 10.1001/jama.290.9.1166.
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Impact of ethics consultations in the intensive care setting: a randomized, controlled trial.重症监护环境中伦理咨询的影响:一项随机对照试验。
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