公众对医院和医生鼓励感恩患者捐款的态度分析 作者： 发布时间：/7/22 17:12:39 美国密歇根大学Reshma Jagsi联合约翰霍普金斯大学Scott M. Wright课题组分析了公众对医院和医生鼓励感激患者捐款的态度。相关论文发表在7月21日出版的《美国医学会杂志》上。
慈善事业是对医疗机构日益重要的资助来源，但很少有经验证据来指导其道德准则。
为了评估公众对医疗机构鼓励感恩患者慈善捐赠的具体做法的态度，研究组以美国人群为基础进行了一项抽样调查研究，选择了代表一般人群的主要队列和3个补充队列（分别为高收入、癌症和心脏病）。描述性分析评估了受访者对医院用于识别、征求和感谢捐赠者的策略可接受性的态度；对医生与患者讨论捐赠效果的看法；以及有关捐赠使用和管理的意见。
在针对一般人群样本的831名参与者中，共有513名（62％）完成了调查，其中女性占48.0%，非西班牙裔白人占67.3%。在加权样本中，47.0%的参与者认为，在征得患者同意后，医生将患者姓名提供给医院筹款人员是肯定或可能接受的； 8.5%的参与者认为无须患者同意亦可提供。
在参与者中，79.5%认为若患者提出，医生可以与患者讨论捐赠；14.2%认为若患者没有提出，医生亦可以与其讨论；9.9%接受医院发展人员使用公开数据进行财富筛选，以确定有能力进行大额捐赠的患者。83.2%的参与者认为医生与患者讨论捐赠事宜可能会干扰患者与医生的关系。假设一名患者捐赠了100万美元，参与者中有50.1%接受医院提供更好的病房来表示感谢，26.0%接受医院提供快速预约，19.8%接受医生提供手机号码。
总之，在这项针对美国普通人群的调查研究中，有相当一部分人不赞成法律允许的识别、征求和感谢捐赠患者的方法。
附：英文原文
Title: Public Attitudes Regarding Hospitals and Physicians Encouraging Donations From Grateful Patients
Author: Reshma Jagsi, Kent A. Griffith, Joseph A. Carrese, Megan Collins, Audiey C. Kao, Sara Konrath, Stacey A. Tovino, Jane L. Wheeler, Scott M. Wright
Issue Volume: /07/21
Abstract: Importance Philanthropy is an increasingly important source of support for health care institutions. There is little empirical evidence to inform ethical guidelines.
Objective To assess public attitudes regarding specific practices used by health care institutions to encourage philanthropic donations from grateful patients.
Design, Setting, and Participants Using the Ipsos KnowledgePanel, a probability-based sample representative of the US population, a survey solicited opinions from a primary cohort representing the general population and 3 supplemental cohorts (with high income, cancer, and with heart disease, respectively).
Exposures Web-based questionnaire.
Main Outcomes and Measures Descriptive analyses (with percentages weighted to make the sample demographically representative of the US population) evaluated respondents attitudes regarding the acceptability of strategies hospitals may use to identify, solicit, and thank donors; perceptions of the effect of physicians discussing donations with their patients; and opinions regarding gift use and stewardship.
Results Of 831 individuals targeted for the general population sample, 513 (62%) completed surveys, of whom 246 (48.0%) were women and 345 (67.3%) non-Hispanic white. In the weighted sample, 47.0% (95% CI, 42.3%-51.7%) responded that physicians giving patient names to hospital fundraising staff after asking patients permission was definitely or probably acceptable; 8.5% (95% CI, 5.7%-11.2%) endorsed referring without asking permission. Of the participants, 79.5% (95% CI, 75.6%-83.4%) reported it acceptable for physicians to talk to patients about donating if patients have brought it up; 14.2% (95% CI, 10.9%-17.6%) reported it acceptable when patients have not brought it up; 9.9% (95% CI, 7.1%-12.8%) accepted hospital development staff performing wealth screening using publicly available data to identify patients capable of large donations. Of the participants, 83.2% (95% CI, 79.5%-86.9%) agreed that physicians talking with their patients about donating may interfere with the patient-physician relationship. For a hypothetical patient who donated $1 million, 50.1% (95% CI, 45.4%-54.7%) indicated it would be acceptable for the hospital to show thanks by providing nicer hospital rooms, 26.0% (95% CI, 21.9%-30.1%) by providing expedited appointments, and 19.8% (95% CI, 16.1%-23.5%) by providing physicians cell phone numbers.
Conclusions and Relevance In this survey study of participants drawn from the general US population, a substantial proportion did not endorse legally allowable approaches for identifying, engaging, and thanking patient-donors.
DOI: 10.1001/jama..9442
Source:
期刊信息
JAMA-Journal of The American Medical Association：《美国医学会杂志》，创刊于1883年。隶属于美国医学协会，最新IF：51.273
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