0
Commentary |

Will My Job Be Safe If I Defend My Patients?Patient Advocacy vs Obedience to Employer: When Patient Advocacy Collides With Employment Law

Constantine A. Manthous, MD, FCCP; Abigail R. Moncrieff, JD
Author and Funding Information

From the Department of Medicine (Dr Manthous), Yale School of Medicine, New Haven, CT; and Boston University School of Law (Dr Moncrieff), Boston, MA.

Correspondence to: Constantine A. Manthous, MD, FCCP, 4450 Whitney Ave, Hamden, CT 06518; e-mail: cmanthous@thocc.org


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(4):1106-1110. doi:10.1378/chest.13-0040
Text Size: A A A
Published online

Physicians are moving increasingly from self-employed, private practices to at-will employment relationships. This historic change in the organizational administration of medical services is likely to accelerate as the Affordable Care Act is implemented and as accountable care organizations permeate the medical marketplace. Physicians vow an ascendant oath to safeguard patients’ welfare, but as they become employees, they may sign legal contracts that also oblige obedience to the institutions that hire them. What happens when an employer makes a decision that is not in the best interests of patients and the physicians fulfill their Hippocratic obligation to voice dissent on their patients’ behalf rather than abiding by their contractual obligation to obey their employer? This article explores the philosophical and legal ramifications of this potential collision of obligations to patients and to employers.


Sign In to Access Full Content

Want to Purchase a Subscription?

New to CHEST? Become an ACCP member to receive a full subscription to both the print and online editions.
Want to access your Institution's subscription?
Sign in to your individual user account while you are actively authenticated on this website via your institution (Learn more about institutional authentication). We will then sustain your personal access to their content/subscription for 90 days, after which you can repeat this process.

Sign In to Access Full Content

Want to Purchase a Subscription?

New to CHEST? Become an ACCP member to receive a full subscription to both the print and online editions.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
An Appeal for Safe and Appropriate Imaging of Children. J Patient Saf Published online Jul 1, 2014.;
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543