Literature DB >> 2231049

Are physicians obligated to provide preventive services?

D W Belcher1.   

Abstract

Preventive care is considered a benefit to the patient. Physicians express a positive attitude towards prevention, but their performance of recommended activities is low, as shown in a five-year trial at the Seattle VA Medical Center. The release of the U.S. Preventive Services Task Force's guide to clinical preventive services has provided physicians with authoritative prevention recommendations. While most physicians are specialists with little interest or skill in preventive care, primary care providers do accept an obligation to provide comprehensive care, including prevention. This paper examines the ethical basis for the idea of obligation. External pressures, legal, economic, and organizational, are affecting the physician-patient relationship in ways that encourage a contract mode of medical practice and limit physicians' ability to provide preventive care. As a profession, medicine needs to speak for the health needs of the public. As practitioners, physicians need to seek the welfare of their patients.

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Year:  1990        PMID: 2231049     DOI: 10.1007/bf02600853

Source DB:  PubMed          Journal:  J Gen Intern Med        ISSN: 0884-8734            Impact factor:   5.128


  14 in total

1.  Code, covenant, contract, or philanthropy.

Authors:  W F May
Journal:  Hastings Cent Rep       Date:  1975-12       Impact factor: 2.683

2.  Transformation of American health care. The role of the medical profession.

Authors:  W Winkenwerder; J R Ball
Journal:  N Engl J Med       Date:  1988-02-04       Impact factor: 91.245

3.  Duties, fears and physicians.

Authors:  E H Loewy
Journal:  Soc Sci Med       Date:  1986       Impact factor: 4.634

4.  Social class and survival on the S.S. Titanic.

Authors:  W Hall
Journal:  Soc Sci Med       Date:  1986       Impact factor: 4.634

5.  The progression of medicine. From physician paternalism to patient autonomy to bureaucratic parsimony.

Authors:  M Siegler
Journal:  Arch Intern Med       Date:  1985-04

6.  American College of Physicians Ethics Manual. Part I: History of medical ethics, the physician and the patient, the physician's relationship to other physicians, the physician and society. Ad Hoc Committee on Medical Ethics, American College of Physicians.

Authors: 
Journal:  Ann Intern Med       Date:  1984-07       Impact factor: 25.391

7.  Doctors, drug companies, and gifts.

Authors:  M M Chren; C S Landefeld; T H Murray
Journal:  JAMA       Date:  1989 Dec 22-29       Impact factor: 56.272

8.  Divided loyalties for physicians: social context and moral problems.

Authors:  T H Murray
Journal:  Soc Sci Med       Date:  1986       Impact factor: 4.634

9.  Medical ethics in the primary care setting.

Authors:  H L Smith
Journal:  Soc Sci Med       Date:  1987       Impact factor: 4.634

10.  Health promotion talk in family practice encounters.

Authors:  S H Freeman
Journal:  Soc Sci Med       Date:  1987       Impact factor: 4.634

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  1 in total

1.  Appreciative Inquiry for quality improvement in primary care practices.

Authors:  Mary C Ruhe; Sarah N Bobiak; David Litaker; Caroline A Carter; Laura Wu; Casey Schroeder; Stephen J Zyzanski; Sharon M Weyer; James J Werner; Ronald E Fry; Kurt C Stange
Journal:  Qual Manag Health Care       Date:  2011 Jan-Mar       Impact factor: 0.926

  1 in total

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