Professionalism Charter Provides Guidance to Health Care Organizations in These Troubled Times
Authors: David A. Fleming, Walter J. McDonald
Journal: Annals of Internal Medicine (2017)

Ideas and Opinions2 May 2017Professionalism Charter Provides Guidance to Health Care Organizations in These Troubled TimesDavid A. Fleming, MD and Walter J. McDonald, MDDavid A. Fleming, MDFrom University of Missouri School of Medicine, Columbia, Missouri, and Quality in Healthcare Advisory Group, Huntington, New York.Search for more papers by this author and Walter J. McDonald, MDFrom University of Missouri School of Medicine, Columbia, Missouri, and Quality in Healthcare Advisory Group, Huntington, New York.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-0388 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail These are troubling times for health care systems, physicians, and patients. With impending repeal of the Patient Protection and Affordable Care Act (ACA), more than 22 million Americans are at risk for losing all or part of their health insurance coverage, which will disproportionately affect working-class families (1). The resulting increase in uncompensated care, much of it through expensive emergency department visits, might be in the billions of dollars. Health care systems are worrying about how they can absorb this exponential rise in demand and cost and still provide high-quality and equitable care in a health care environment that is ...References1. Doherty R. The demise of the Affordable Care Act? Not so fast. Ann Intern Med. 2017;166:144-5. [PMID: 27951588]. doi:10.7326/M16-2728 LinkGoogle Scholar2. Shanafelt TD, Dyrbye LN, West CP. Addressing physician burnout: the way forward. JAMA. 2017. [PMID: 28196201] doi:10.1001/jama.2017.0076 CrossrefMedlineGoogle Scholar3. Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172:1377-85. [PMID: 22911330] CrossrefMedlineGoogle Scholar4. Egener BE, Mason DJ, McDonald WJ, Okun S, Gaines ME, Fleming DA, et al. The charter on professionalism for health care organizations. Acad Med. 2017. [PMID: 28079726] doi:10.1097/ACM.0000000000001561 CrossrefMedlineGoogle Scholar5. ABIM Foundation. American Board of Internal Medicine Foundation, American College of Physicians-American Society of Internal Medicine Foundation, European Federation of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136:243-6. [PMID: 11827500] LinkGoogle Scholar6. Lesser CS, Lucey CR, Egener B, Braddock CH, Linas SL, Levinson W. A behavioral and systems view of professionalism. JAMA. 2010;304:2732-7. [PMID: 21177508] doi:10.1001/jama.2010.1864 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Missouri School of Medicine, Columbia, Missouri, and Quality in Healthcare Advisory Group, Huntington, New York.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-0388.Corresponding Author: David A. Fleming, MD, Center for Health Ethics, University of Missouri School of Medicine, CE724 Health Sciences Center, 1 Hospital Drive, Columbia, MO 65212; e-mail, [email protected]missouri.edu.Current Author Addresses: Dr. Fleming: Center for Health Ethics, University of Missouri School of Medicine, CE724 Health Sciences Center, 1 Hospital Drive, Columbia, MO 65212.Dr. McDonald: QHC Advisory Group, 10 Plover Lane, Huntington, NY 11743.Author Contributions: Conception and design: D.A. Fleming, W.J. McDonald.Drafting of the article: D.A. Fleming.Critical revision for important intellectual content: W.J. McDonald.Final approval of the article: D.A. Fleming, W.J. McDonald.This article was published at Annals.org on 28 March 2017. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byMedical Professionalism In An Organizational Age: Challenges And Opportunities 2 May 2017Volume 166, Issue 9Page: 665-666KeywordsBehaviorBioethicsHealth careHealth care qualityHealth economicsHospital medicinePatient Protection and Affordable Care ActPatient advocacyPrevention, policy, and public healthSafety ePublished: 28 March 2017 Issue Published: 2 May 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...