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In addition to physician ethics, the pay-for-performance concept also has been instituted by the Centers for Medicare & Medicaid (CMS) related to its statement that its policy will be to no longer pay for any on a list of so-called "never" events that occur at hospitals. The policy became effective Oct. 1.
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More and more questionable ties between physicians and drug companies are being uncovered in an investigation into such financial relationships conducted by Sen. Charles Grassley (R-IA).
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Bridges to Excellence (BTE) CEO Francois de Brantes doesn't mince words when asked if he thinks there is an ethical conflict between the payment model of pay-for-performance essentially giving physicians additional payments for good performance based on certain quality measures and ethical decision-making by physicians.
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Decision making in health care ethics consultation cases often involves difficult, complex issues and mediating differences of opinion.
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When a judge recently ordered a pharmaceutical company to provide an investigational drug to a teenage boy who had not met the enrollment criteria for a phase II trial, the IRB world took note.
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Considering the question of whether there are new challenges, new laws, or new ways of looking at ethical decisions for institutional review boards, one major organization chair responsible for IRBs, responds: "I think its kind of ratcheted up over the years, thats for sure."
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From a bioethical perspective, payments to research participants are complicated, an expert says.
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The National Hospice & Palliative Care Organization (NHPCO) has issued a "call to action" and position statement outlining that organizations expectation that palliative care will become available to all patients in critical care settings.
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Access to Palliative Care in Critical Care Settings: A Call to Action
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One health care provider is using its approach to ethics to combat what one ethics leader in the organization calls "a perfect storm" of intense regulatory scrutiny, increased litigation, a large population of chronically ill patients in hospitals for long periods of time, and public mistrust of the health care system.
