1986
DOI: 10.1001/jama.1986.03380130112038
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Patient Advocate or Secret Agent?

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Cited by 18 publications
(4 citation statements)
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“…What are the Socioeconomic Barriers to Prevention and How Should Clinicians Appeal These Constraints? Clinicians are now called upon to choose between being patient advocates and societal agents 25 . Civil suits, licensure actions, courts of public opinion, ethics consultants, and the media have appealed socioeconomic constraints on patient care.…”
Section: Ethical Dilemmasmentioning
confidence: 99%
“…What are the Socioeconomic Barriers to Prevention and How Should Clinicians Appeal These Constraints? Clinicians are now called upon to choose between being patient advocates and societal agents 25 . Civil suits, licensure actions, courts of public opinion, ethics consultants, and the media have appealed socioeconomic constraints on patient care.…”
Section: Ethical Dilemmasmentioning
confidence: 99%
“…Other reasons are epistemological—HCWs should not be free to act on competing interests because there are no sufficiently coherent grounds on which such actions can be justified and limits set (Sepper 2019 ; Tilburt 2014 ; Glover 2019 ). And others are consequentialist, the focus being on the effects of deprioritizing patient care on the image of medicine, on trust in HCWs, on patient welfare and population health, on social justice, and on the HCW–patient relationship itself (Abrams 1986 ; Sulmasy 1992 ; Magelssen, Le, and Supphellen 2019 ; Riggs and DeCamp 2014 ; Gostin 2019 ). Of course, there are complex relationships between duties and consequences, and some accounts of duty (e.g., rule deontology) position them primarily as routes to desirable consequences.…”
Section: Justifying the Deprioritization Of Patient Carementioning
confidence: 99%
“…1 However, the incidence of intracranial hemorrhage in cocaine abuse must be exceedingly low, as only three cases have been reported in the American literature2,3 despite a large and growing population of cocaine abusers.…”
mentioning
confidence: 99%