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| Research article summary (published 29 Sep 2008): |
Ethical issues for the plastic surgeon in a tumultuous health care system: dissecting the anatomy of a decision.
Full Abstract
BACKGROUND:
Society anticipates that plastic surgeons will make ethical decisions that are solely in the best interest of their patients. However, a variety of competing factors exert an influence on all decision-making processes.
METHODS:
Multiple competing factors that commonly influence decision-making by plastic surgeons, on both conscious and subconscious levels, are identified. By exploring the ramifications of these factors, a more ethical outcome can be achieved.
RESULTS:
Some of these competing interests that can sidetrack ethical decision-making include personal finances (e.g., ownership of surgical centers, selection of procedures, pricing); outside regulations (e.g., Emergency Medical Treatment and Active Labor Act of 1986 and care of the uninsured); and professional duty (e.g., informed consent, discussion of error).
CONCLUSIONS:
Plastic surgeons who are aware of the competing interests that influence their decision-making processes stand a greater chance of achieving ethical outcomes. Nevertheless, with the growing volume of nonreimbursed care and expectations of perfect outcomes, achieving uniformly ethical decisions without burdensome self-sacrifice is difficult at best.
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Author information
Author/s: Zbar, Ross I S (RI); Taylor, Lisa D (LD); Canady, John W (JW);
Affiliation: Stern & Kilcullen, LLC, USA. risz(-atsign-)ix.netcom.com
Journal and publication information
Publication Type: Journal Article
Journal: Plastic and reconstructive surgery (Plast Reconstr Surg), published in United States. (Language: eng)
Reference: 2008-Oct; vol 122 (issue 4) : pp 1245-52
Dates: Created 2008/10/01; Completed 2008/10/06;
PMID: 18827661, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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