How to avoid gifts from your patients after the Christmas holidays?
La Revue de Médecine Interne, ISSN: 0248-8663, Vol: 45, Issue: 12, Page: 744-749
2024
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Article Description
Receiving gifts from patients could generate an ethical dilemma for physicians and refusing a present may be perceived as an offence. To differentiate the particular physician characteristics that are associated with receiving gifts from outpatients. To propose a strategy to avoid gifts and thus ethical dilemma. A prospective and multicentric study in France during the month of January 2024. Public hospitals, private hospitals and family practices across 20 cities in France. Physicians from 21 medical and surgical specialities. Setting Public hospitals, private hospitals and family practices across 20 cities in France. Each physician completed a questionnaire that highlighted their habitual practices during consultations and recorded the gifts they received on a standardized gift calendar. Receiving at least one gift during January 2024. In total, 655 physicians were contacted before December 31st, 2023, 109 (16.6%) positively responded, of them 76 (70%) declared receiving at least one gift from patients. An experience > 10 years in the current job ( P = 0.04), being the “Explorer” Myers Briggs Type Indicator (MBTI) personality type ( P = 0.034), and a frequent delay of over 30 minutes at the end of the day of consultations ( P = 0.048) were statistically associated with a higher likelihood of receiving at least one gift from patients in multivariate analysis. The physicians who received the most gifts per 100 consultations were those with over 10 years experience and those who fell under the MBTI personality role “Explorer”: 2.72 (IQR [1.56–7.55], P = 0.029) and 3.33 (IQR [2.16–6.43], P = 0.028), respectively. After analysing the factors that increase the risk of receiving a gift from a patient, we have surmised the following advice for physicians who do not wish to find themselves in the midst of an ethical dilemma. They should avoid staying in the same service for more than 5 years, try to adopt the MBTI personality type “Analyst” and be on time in their consultations. Recevoir des cadeaux de la part de patients peut provoquer un dilemme éthique pour les médecins. Le praticien doit-il accepter ou pas ce présent ? Identifier les caractéristiques des médecins associées au fait de recevoir des cadeaux de la part de leurs patients. Proposer des conseils visant à éviter de recevoir des cadeaux pour ne pas faire face à ce dilemme éthique. Méthode Étude prospective et multicentrique menée en France au cours du mois de janvier 2024, incluant des médecins de 21 spécialités, hospitaliers ou pratiquant en ville. Chaque médecin a rempli un questionnaire sur ses pratiques habituelles de consultations et à collecter de façon prospective les cadeaux qu’il a reçus. Avoir reçu au moins un cadeau. 655 médecins ont été contactés avant le 31 décembre 2023, 109 (16,6 %) ont répondu positivement, dont 76 (70 %) ont déclaré avoir reçu au moins un cadeau de la part des patients. Une expérience de plus de 10 ans ( p = 0,04), le type de personnalité « Explorateur » selon le Myers-Briggs Type Indicator (MBTI) ( p = 0,034), et un retard fréquent de plus de 30 minutes à la fin de la journée de consultations ( p = 0,048) étaient significativement associés, en analyse multivariée, au fait de recevoir au moins un cadeau de la part des patients. Les médecins qui ont reçu le plus de cadeaux par 100 consultations étaient aussi ceux qui avaient plus de 10 ans d’expérience et ceux qui avaient un type de personnalité « Explorateur » : 2,72 (IQR [1,56–7,55], p = 0,029) et 3,33 (IQR [2,16–6,43], p = 0,028), respectivement. Après avoir analysé les facteurs qui majorent le risque de recevoir un cadeau de la part d’un patient, nous conseillons donc aux médecins qui ne souhaitent pas faire face à un dilemme éthique, de ne pas rester dans le même service plus de 5 ans, d’essayer d’adopter le type de personnalité MBTI « Analyste » et d’être à l’heure lors de leurs consultations.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S024886632401316X; http://dx.doi.org/10.1016/j.revmed.2024.11.015; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85210363419&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/39609181; https://linkinghub.elsevier.com/retrieve/pii/S024886632401316X
Elsevier BV
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