New ethical guidance from ACP for patient-physician-caregiver relationship

Jan 12, 2010

The American College of Physicians (ACP) has issued a position paper to guide ethical relationships among patients, physicians, and caregivers.

The has published ", Patients and Physicians: Ethical Guidance to Optimize Relationships." The text and an online appendix of resources to help physicians manage relationships with patients and caregivers are available at http://www.acponline.org/running_practice/ethics/issues/policy.

"The ethical guidance outlined in this paper is intended to heighten physician awareness of the importance and complexity of the patient-physician-caregiver relationship," said ACP President Joseph Stubbs, MD, FACP. "It is essential for physicians to consider quality of life for both patients and caregivers."

The paper -- endorsed by 10 other professional medical societies -- defines caregivers as relatives, partners, friends, and neighbors of patients who assist with activities of daily living and complex health care needs. It outlines four primary principles for physicians, who may face ethical challenges collaborating with patients and caregivers while preserving the primacy of the patient-physician relationship:

  • Respect for the patient's dignity, rights, and values should guide all patient-physician- caregiver interactions.
  • Effective communication and physician accessibility are fundamental to supporting the patient and family caregiver.
  • The physician should recognize the value of family caregivers as a source of continuity regarding the patient's medical and psychosocial history and facilitate the intellectual and emotional transition to the end stage of serious .
  • When the caregiver is a health care professional, the physician should draw appropriate boundaries to ensure that the caregiver is not expected to function in a professional capacity in relation to the patient and that the caregiver receives appropriate support, referrals, and services.
"Patients depend on caregivers for assistance with managing complex care and communicating with health care professionals," said Virginia Hood, MBBS, MPH, FACP, chair of ACP's Ethics, Professionalism and Human Rights Committee. "Physician recognition of the value of the caregiver role may contribute to a positive care giving experience and decrease rates of patient hospitalization and institutionalization."

Although hospice and palliative care address the impact of illness on both patients and families, the authors write, historically the patient-physician relationship has focused on the patient and his / her rights and interests with less attention to the patient's experience within the context of his / her family and social relationships. Contemporary bioethics with its emphasis on patient autonomy and confidentiality has supported this model but is beginning to recognize the need for a family-centered approach.

Explore further: Liver transplant recipient marks 25th anniversary

Provided by American College of Physicians

not rated yet
add to favorites email to friend print save as pdf

Related Stories

When the patient can't decide

Aug 18, 2008

Family members are often called upon to make medical choices for patients who are unable to do so themselves. Researchers led by Alexia Torke, M.D., of the Indiana University School of Medicine and the Regenstrief Institute, ...

Recommended for you

Doctor behind 'free radical' aging theory dies

Nov 25, 2014

Dr. Denham Harman, a renowned scientist who developed the most widely accepted theory on aging that's now used to study cancer, Alzheimer's disease and other illnesses, has died in Nebraska at age 98.

Mexican boy who had massive tumor recovering

Nov 25, 2014

An 11-year-old Mexican boy who had pieces of a massive tumor removed and who drew international attention after U.S. officials helped him get treatment in the southwestern U.S. state of New Mexico is still recovering after ...

New medical device to make the mines safer

Nov 21, 2014

Dehydration can be a serious health issue for Australia's mining industry, but a new product to be developed with input from Flinders University's Medical Device Partnering Program (MDPP) is set to more effectively ...

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.