Article Text
Abstract
High-value care (HVC) is en vogue, but the ethics of physicians’ roles in the growing number of HVC recommendations demands further attention. In this brief report, we argue that, from the standpoint of individual physicians’ primary commitments and duties to individual patients, not all HVC is ethically equal. Our analysis suggests that the ethical case for HVC may be both stronger and weaker than is ordinarily supposed. In some cases, HVC is not merely a ‘good thing to do’ but is actually ethically obligatory. In others, it is merely permissible—or even ethically suspect. More importantly, we suggest further that understanding HVC as ethically ‘obligatory, permissible, or suspect’ has implications for the design and implementation of strategies that promote HVC. For example, it questions the use of adherence to certain HVC recommendations as a physician performance metric, which may already be occurring in some contexts. Properly construed, ethics does not threaten HVC but can instead help shape HVC in ways that preserve the fundamental values of the medical profession.
- Ethics
- Clinical Ethics
- Codes of/Position Statements on Professional Ethics
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Footnotes
Contributors Both authors made substantial contributions to the conception or design of the work; drafting the work and revising it critically for important intellectual content; give final approval of the version to be published; and, agree to be accountable for all aspects of the work.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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