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Medical silos, social identity, and duty of care: A call for health leaders to improve transitions of care.
Healthc Manage Forum
October 2024
Dalhousie University, Halifax, Nova Scotia, Canada.
This article explores the concept of medical silos, particularly within hospital systems, and examines their deeper roots in social identity and the fiduciary duty of care of healthcare providers. While traditional perspectives focus on informational and communication barriers, this analysis highlights how professional identity and moral obligations contribute to the persistence of silos. Social identity theory reveals that strong in-group affiliations, formed during medical training and specialization, fosters collaboration within groups but also create divisions between them.
View Article and Find Full Text PDFHealthcare workers' informal uses of mobile phones and other mobile devices to support their work: a qualitative evidence synthesis.
Cochrane Database Syst Rev
August 2024
Department of Health Sciences Ålesund, Norwegian University of Science and Technology (NTNU), Ålesund, Norway.
Background: Healthcare workers sometimes develop their own informal solutions to deliver services. One such solution is to use their personal mobile phones or other mobile devices in ways that are unregulated by their workplace. This can help them carry out their work when their workplace lacks functional formal communication and information systems, but it can also lead to new challenges.
View Article and Find Full Text PDFNavigating the ethics of treating family for nondermatologic medical issues.
J Am Acad Dermatol
June 2024
Department of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut; Department of Dermatology, University of Florida College of Medicine, Gainesville, Florida. Electronic address:
Burkholderia cenocepacia (B cenocepacia) is a gram-negative bacteria associated with significant morbidity and mortality following lung transplantation. Most US transplant programs consider B cenocepacia colonization to be an absolute contraindication to transplantation. This article argues that, if clinicians have good clinical reasons to expect poor outcomes for patients with B cenocepacia, then offering transplantation anyway is an abrogation of clinicians' fiduciary duties.
View Article and Find Full Text PDFWhat Do We Owe Our Patients? Surgeon Obligations When Patients Are Too Sick for Surgery.
J Am Coll Surg
October 2024
Department of Surgery (Angelos), University of Chicago, Chicago, IL.
Article Synopsis
- The principle of respect for patient autonomy has become more prominent in medicine, leading to challenges for surgeons when a patient wants a surgery that may not be beneficial due to their health condition.
- Surgeons commonly experience moral distress when faced with requests for nonbeneficial surgeries, leading to the need for guidance on when to decline such requests ethically.
- The text outlines four concepts to support surgeons: understanding "futility," differentiating between patients' rights, emphasizing the fiduciary duty of surgeons, and applying virtue ethics to ensure care is in the best interest of patients.
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