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Conflicts of InterestPhysician Ownership of Medical Facilities
Council on Ethical and Judicial Affairs, American Medical Association;
Oscar W. Clarke, MD;
John Glasson, MD;
Allison M. August;
John A. Barrasso, MD;
Charles H. Epps, Jr, MD;
Robert McQuillan, MD;
Charles W. Plows, MD;
Michael A. Puzak, MD;
George T. Wilkins, Jr, MD;
David Orentlicher, MD, JD;
Kristen A. Halkola;
Kirk B. Johnson, JD;
David Orentlicher, MD, JD;
Robert B. Conley, MD, JD
JAMA. 1992;267(17):2366-2369.
Abstract
In this report, the Council on Ethical and Judicial Affairs revisits the question of referral of patients to medical facilities in which physicians have financial interests ("self-referral"). The Council issued safeguards in 1986 to prevent abuses of self-referral and most recently updated the guidelines in 1989. Recent studies, however, have suggested that problems with self-referral persist; these problems undermine the commitment of physicians to professionalism. The Council has concluded that, in general, physicians should not refer patients to a health care facility outside their office practice at which they do not directly provide care or services when they have an investment interest in the facility. Physicians may invest in and refer to an outside facility if there is a demonstrated need in the community for the facility and alternative financing is not available.
(JAMA. 1992;267:2366-2369)
Author Affiliations
Gallipolis, Ohio, Chair; Durham, NC, Vice Chair; Chicago, Ill; Casper, Wyo; Washington, DC; Kansas City, Mo; Anaheim, Calif; Arlington, Va; Edwardsville, Ill; Chicago, Ill, Secretary; Chicago, Ill, Associate Secretary
From the Council on Ethical and Judicial Affairs, American Medical Association, Chicago, Ill.
Footnotes
This report is revised from Report C, adopted by the House of Delegates of the American Medical Association at the Interim Meeting, December 1991.
Reprint requests to Council on Ethical and Judicial Affairs, American Medical Association, 515 N State St, Chicago, IL 60610 (David Orentlicher, MD, JD).
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