TY - JOUR
T1 - Competing and conflicting interests in the care of critically ill patients
AU - Turnbull, Alison E.
AU - Sahetya, Sarina K.
AU - Biddison, E. Lee Daugherty
AU - Hartog, Christiane S.
AU - Rubenfeld, Gordon D.
AU - Benoit, Dominique D.
AU - Guidet, Bertrand
AU - Gerritsen, Rik T.
AU - Tonelli, Mark R.
AU - Curtis, J. Randall
N1 - Publisher Copyright:
© 2018, Springer-Verlag GmbH Germany, part of Springer Nature and ESICM.
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Medical professionals are expected to prioritize patient interests, and most patients trust physicians to act in their best interest. However, a single patient is never a physician’s sole concern. The competing interests of other patients, clinicians, family members, hospital administrators, regulators, insurers, and trainees are omnipresent. While prioritizing patient interests is always a struggle, it is especially challenging and important in the ICU setting where most patients lack the ability to advocate for themselves or seek alternative sources of care. This review explores factors that increase the risk, or the perception, that an ICU physician will reason, recommend, or act in a way that is not in their patient’s best interest and discusses steps that could help minimize the impact of these factors on patient care.
AB - Medical professionals are expected to prioritize patient interests, and most patients trust physicians to act in their best interest. However, a single patient is never a physician’s sole concern. The competing interests of other patients, clinicians, family members, hospital administrators, regulators, insurers, and trainees are omnipresent. While prioritizing patient interests is always a struggle, it is especially challenging and important in the ICU setting where most patients lack the ability to advocate for themselves or seek alternative sources of care. This review explores factors that increase the risk, or the perception, that an ICU physician will reason, recommend, or act in a way that is not in their patient’s best interest and discusses steps that could help minimize the impact of these factors on patient care.
KW - Clinical studies as topic
KW - Conflict of interest
KW - Critical care
KW - Patient-centered care
KW - Research design
UR - http://www.scopus.com/inward/record.url?scp=85050657692&partnerID=8YFLogxK
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U2 - 10.1007/s00134-018-5326-2
DO - 10.1007/s00134-018-5326-2
M3 - Review article
C2 - 30046872
AN - SCOPUS:85050657692
SN - 0342-4642
VL - 44
SP - 1628
EP - 1637
JO - Intensive Care Medicine
JF - Intensive Care Medicine
IS - 10
ER -