American College of Physicians, Philadelphia, Pennsylvania (L.S.S.).
University of Nevada, Reno School of Medicine, Reno, Nevada (T.B.C.).
Ann Intern Med. 2023 Oct;176(10):1392-1395. doi: 10.7326/M23-1691. Epub 2023 Sep 26.
Physician solicitation of charitable contributions from patients-also known among other things as grateful patient fundraising-raises significant ethical concerns. These include pressure on patients to donate and the effects of this on the patient-physician relationship, potential expectations of donor patients for treatment that is not indicated or preferential care, justice and fairness issues, disclosure and use of confidential patient information for nontreatment purposes, and conflicts of interest. The patient-physician relationship and knowledge of the patient's medical history, clinical status, personal information, and financial circumstances are some of the reasons development and administrative officials might see physicians as strong potential fundraisers. But those are among the reasons grateful patient fundraising is ethically problematic. This American College of Physicians position paper explores these issues and offers guidance.
医生向患者索取慈善捐款——也被称为感恩患者筹款——引发了重大的伦理问题。这些问题包括对患者捐款的压力，以及这对医患关系的影响，有捐赠意愿的患者对非必要或优待治疗的潜在期望，公正和公平问题，为非治疗目的披露和使用患者的机密信息，以及利益冲突。医患关系以及对患者病史、临床状况、个人信息和财务状况的了解，是开发和管理官员可能认为医生是强大的潜在筹款人的一些原因。但这些也是感恩患者筹款在道德上存在问题的原因。这份美国医师学院立场文件探讨了这些问题并提供了指导。
