<i>A Physician Charter</i>: The 10th Anniversary

Cassel, Christine K.; Hood, Virginia L.; Bauer, W. W.

doi:10.7326/0003-4819-157-4-201208210-00012

Cited by 17 publications

(12 citation statements)

References 7 publications

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“…However, compared to the results of the Campbell et al [21] survey of professionalism conducted among North American physicians in 2003, we found lower levels of agreement with many of the core statements in the Physicians’ Charter. We could point at the ten-year time gap between Campbell’s study and ours and at the fact that the Charter has been far more intensely discussed in the USA than in any other nation [28]. However, the authors of the Physician’s Charter state that the members of the medical professions all share the role of healer–which has roots extending back to Hippocrates–and, despite the different contexts, should be able to relate and commit to the set of professional responsibilities outlined in the Charter [1].…”

Section: Discussionmentioning

confidence: 74%

Measuring Professionalism in Medicine and Nursing: Results of a European Survey

et al. 2014

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BackgroundLeveraging professionalism has been put forward as a strategy to drive improvement of patient care. We investigate professionalism as a factor influencing the uptake of quality improvement activities by physicians and nurses working in European hospitals.ObjectiveTo (i) investigate the reliability and validity of data yielded by using the self-developed professionalism measurement tool for physicians and nurses, (ii) describe their levels of professionalism displayed, and (iii) quantify the extent to which professional attitudes would predict professional behaviors.Methods and MaterialsWe designed and deployed survey instruments amongst 5920 physicians and nurses working in European hospitals. This was conducted under the cross-sectional multilevel study “Deepening Our Understanding of Quality Improvement in Europe” (DUQuE). We used psychometric and generalized linear mixed modelling techniques to address the aforementioned objectives.ResultsIn all, 2067 (response rate 69.8%) physicians and 2805 nurses (94.8%) representing 74 hospitals in 7 European countries participated. The professionalism instrument revealed five subscales of professional attitude and one scale for professional behaviour with moderate to high internal consistency and reliability. Physicians and nurses display equally high professional attitude sum scores (11.8 and 11.9 respectively out of 16) but seem to have different perceptions towards separate professionalism aspects. Lastly, professionals displaying higher levels of professional attitudes were more involved in quality improvement actions (physicians: b = 0.019, P<0.0001; nurses: b = 0.016, P<0.0001) and more inclined to report colleagues’ underperformance (physicians – odds ratio (OR) 1.12, 95% CI 1.01–1.24; nurses – OR 1.11, 95% CI 1.01–1.23) or medical errors (physicians – OR 1.14, 95% CI 1.01–1.23; nurses – OR 1.43, 95% CI 1.22–1.67). Involvement in QI actions was found to increase the odds of reporting incompetence or medical errors.ConclusionA tool that reliably and validly measures European physicians’ and nurses’ commitment to professionalism is now available. Collectively leveraging professionalism as a quality improvement strategy may be beneficial to patient care quality.

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Section: Discussionmentioning

confidence: 74%

Measuring Professionalism in Medicine and Nursing: Results of a European Survey

et al. 2014

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“…Thus, examining responsibilization and how it shapes providers' resource-integration context is informative. How providers view their profession is an active and ongoing debate in health care, partially reflected in the development of and conversation around the Physician Charter (Bryan- Brown and Dracup 2003;Cassel, Hood, and Bauer 2012). The Physician Charter aims to define the fundamental principles of the medical profession-primacy of patient welfare, patient autonomy, and social justice-as a response to market forces and policies that have diminished the ability of expert providers to act in the best interest of their service users:…”

Section: Expert Service Systems: the Case Of Health Carementioning

confidence: 99%

Responsibility and Well-Being: Resource Integration under Responsibilization in Expert Services

Anderson

Spanjol

Jefferies

et al. 2016

Journal of Public Policy & Marketing

121

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Responsibilization, or the shift of functions and risks from providers and producers to consumers, has become an increasingly common policy in service systems and marketplaces (e.g., financial, health, governmental). Because responsibilization is often considered synonymous with consumer agency and well-being, the authors take a transformative service research perspective and draw on resource integration literature to investigate whether responsibilization is truly associated with well-being. The authors focus on expert services, for which responsibilization concerns are particularly salient, and question whether this expanding policy is in the public interest. In the process, they develop a conceptualization of resource integration under responsibilization that includes three levels of actors (consumer, provider, and service system), the identification of structural tensions to resource integration, and three categories of resource-integration practices (access, appropriation, and management) necessary to negotiate responsibilization. The findings have important implications for health care providers, public and institutional policy makers, and other service systems, all of which must pay more active attention to the challenges consumers face in negotiating responsibilization and the resulting well-being outcomes.

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“…The American Board of Internal Medicine Foundation, the American College of Physicians-American Society of Internal Medicine, and the European Federation of Internal Medicine have jointly developed the ''Charter of Medical Professionalism'' (Table 1) [1]. The Charter, who's preamble states ''Professionalism is the basis of medicine's contract with society,'' has been endorsed by the Board of Regents of the American College of Surgeons (ACS) [2] and more than 130 organizations worldwide, and it has been translated into 12 languages [3]. The ACS, with its own Professionalism Task Force, has published its ''Code of Professional Conduct'' ( Table 2) [4].…”

Section: Introductionmentioning

confidence: 99%