Success in Grateful Patient Philanthropy: Insights from Experienced Physicians

Stewart, Rosalyn W.; Wolfe, Leah; Flynn, John A.; Carrese, Joseph A.; Wright, Scott M.

doi:10.1016/j.amjmed.2011.07.044

Cited by 13 publications

(16 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some physicians go a step further and directly engage their patients in conversations about giving. They may begin by describing their clinical and research activities and then identify funding needs, or they may broach the subject of giving with wealthy patients who have recovered from a major procedure [3].…”

Section: Background: Ethical Concerns With Physician Involvement In Fmentioning

confidence: 99%

“…Physicians have also noted benefits to fundraising with their own patients, such as the increased motivation to provide excellent care and build strong personal relationships [3]. However, a physician's active role in the financial conversation means there is no longer a clear dividing line between the physician as health care provider and physician as fundraiser.…”

Section: Background: Ethical Concerns With Physician Involvement In Fmentioning

confidence: 99%

“…The AMA also noted that preserving patient confidentiality may require “permission from the patient [to] be obtained prior to divulging any information to third parties,” such as development officials [9]. Nonetheless, physicians continue to be actively involved in development work, often at the urging of development officials [1]–[3],[7].…”

Section: Background: Ethical Concerns With Physician Involvement In Fmentioning

confidence: 99%

“…Physicians are often encouraged to assist in these programs because their existing relationships afford them insights into each patient's clinical history, personality, and financial situation; experience has shown that physician involvement can increase the frequency and size of donations [1]–[3]. These types of development initiatives are often referred to as “grateful patient” programs, and there are indeed patients who find joy in giving back to the clinicians and institutions that have made a difference in their lives [3].…”

mentioning

confidence: 99%

See 3 more Smart Citations

Physicians as Fundraisers: Medical Philanthropy and the Doctor-Patient Relationship

Prokopetz

Lehmann

2014

PLoS Med

View full text Add to dashboard Cite

show abstract

Section: Background: Ethical Concerns With Physician Involvement In Fmentioning

confidence: 99%

Section: Background: Ethical Concerns With Physician Involvement In Fmentioning

confidence: 99%

Section: Background: Ethical Concerns With Physician Involvement In Fmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Physicians as Fundraisers: Medical Philanthropy and the Doctor-Patient Relationship

Prokopetz

Lehmann

2014

PLoS Med

View full text Add to dashboard Cite

show abstract

“…2 A strong physicianpatient relationship is believed to be an essential element in facilitating philanthropic gifts from grateful patients to an academic medical institution. 2,3 Involvement of physician faculty members in grateful patient philanthropy is a complex undertaking, particularly with regard to ethical concerns and considerations associated with this activity. 4,5 Personal gifts from patients to physicians, which can range from garden vegetables to alcohol to money, are complicated and potentially problematic.…”

Section: Introductionmentioning

confidence: 99%

Ethical Concerns Related to Grateful Patient Philanthropy: The Physician’s Perspective

et al. 2012

Self Cite

View full text Add to dashboard Cite

BACKGROUND: Philanthropic contributions to academic medical centers from grateful patients support research, patient care, education, and capital projects. The goal of this study was to identify the ethical concerns associated with philanthropic gifts from grateful patients. METHODS: A qualitative study design was selected. Investigators conducted in-depth semi-structured interviews with 20 Department of Medicine physicians at Johns Hopkins who were identified by Development Office staff as experienced and successful in this realm-those having relationships with multiple patients who have made philanthropic contributions. Interview transcripts were independently coded by two investigators. Content analysis identified several themes related to ethical concerns. RESULTS: Eighteen informants (90 %) were Associate Professors or Professors; two (10 %) were females. Four thematic domains emerged related to ethical concerns associated with philanthropy from grateful patients: (i) impact of gift on the doctor-patient relationship; (ii) gift acquisition considered beyond the physician's professional role; (iii) justice and fairness; and (iv) vulnerability of patients. Despite acknowledging at least one of the aforementioned concerns, eleven physician informants (55 %) expressed the view that there were no ethical issues involved with grateful patient philanthropy. CONCLUSIONS: In this paper, we report that physicians involved in grateful patient philanthropy are aware of, and in some cases troubled by, the ethical concerns related to this activity. Further studies could examine how best to prepare faculty for the challenges that may accompany these gifts so as to help them maintain expected professional and ethical standards when accepting grateful patient philanthropy.

show abstract

Navigating the Ethical Boundaries of Grateful Patient Fundraising

Collins

Rum

Sugarman

2018

JAMA

View full text Add to dashboard Cite

Health care institutions in the United States receive more than $10 billion annually in charitable gifts. 1 These gifts, often from grateful patients, benefit physicians, institutions, and other patients through the expansion of clinical and research activities, community-based programs, and educational initiatives. With a decadelong reduction in federal funding for research, which has just been partially restored, and constraints on state and local budgets for clinical programs, the relevance of grateful patient philanthropy has increased over the past decade.Philanthropy provides a way for patients to contribute to a cause that they find meaningful and exert a positive influence on the health and well-being of future patients. 2 These donations are often provided in response to excellent medical care. 3 Ethical issues can arise within the course of grateful patient fundraising that are related not only to the clinical context but also to the oftencomplex relationships among grateful patients, development officers, clinicians, and medical institutions. These issues require careful consideration.There is limited literature examining the ethical issues that grateful patient fundraising raises for physicians. The last American Medical Association report on this topic was issued in 2004. 4 The report recognized VIEWPOINT

show abstract

Success in Grateful Patient Philanthropy: Insights from Experienced Physicians

Cited by 13 publications

References 9 publications

Physicians as Fundraisers: Medical Philanthropy and the Doctor-Patient Relationship

Physicians as Fundraisers: Medical Philanthropy and the Doctor-Patient Relationship

Ethical Concerns Related to Grateful Patient Philanthropy: The Physician’s Perspective

Navigating the Ethical Boundaries of Grateful Patient Fundraising

Contact Info

Product

Resources

About