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Ethics Grand Rounds: Dual Agency, Population Health and Professional Responsibility in Contemporary Health Care Delivery

Jon Tilburt

A traditional ethic of medicine asserts that physicians have special obligations to individual patients with whom they have a clinical relationship. Professionalism requires that physicians uphold the best interests of patients while simultaneously insuring just use of health care resources.

Yet contemporary trends in US health care financing like bundled payments seem to threaten traditional conceptions of special obligations of individual physicians to individual patients; their population-based focus sets a tone emphasizing responsibilities of physicians working within organizations to groups of patients served by those organizations.

Likewise, while, population health has the potential to improve patient care and health outcomes for individual patients, specific population health activities may not be in every patient's best interest in every circumstance. This can create ethical tensions for individual physicians and other health care professionals practicing within health systems with population health strategies.

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In this talk Dr. Tilburt will explore how different framings of physician professional responsibilities introduce tensions, contradictions, and the need for fresh thinking in how we conceptualize and talk about professional responsibility in contemporary health care delivery.
In this talk Dr. Jon Tilburt, Professor of Medicine and Biomedical Ethics at Mayo Clinic will explore how different framings of physician professional responsibilities introduce tensions, contradictions, and the need for fresh thinking in how we conceptualize and talk about professional responsibility in contemporary health care delivery. Dr. Tilburt will share his remarks from the perspective of a practicing physician and engage the audience on the potential implications of the issues he raises for other health care professionals and interprofessional teams. A recording of this event will be available on this webpage shortly after the event. 
 
This is an event of the Office of Academic Clinical Affairs (OACA) hosted by the Center for Bioethics.

Date/Time

Friday, March 20, 2020 - 12:15pm to 1:30pm

Location