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Mystery Story Mystery Story
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Think Think
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Assess Assess
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Patient: Autonomy Patient: Autonomy
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Practitioner: Beneficence and Nonmaleficence Practitioner: Beneficence and Nonmaleficence
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Public Policy: Justice Public Policy: Justice
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Conclude Conclude
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Review Questions Review Questions
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Clinical Vignettes Clinical Vignettes
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Reflection Vignettes Reflection Vignettes
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Web Links Web Links
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46 Referrals and Fee Splitting
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Published:September 2024
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Abstract
Conflicts of interest in healthcare practice, such as self-referral and fee splitting, have far-reaching effects on patients, practitioners, and public policy. At the core of healthcare ethics, the practitioner’s main priority must be to act in the patient’s best interest, guided by the patient’s reasonable goals, values, and priorities. Referrals to other healthcare services should be based on evidence-based reasoning, and practitioners must comply with Health Insurance Portability and Accountability Act laws. Conflicts of interest are incompatible with essential ethical principles, undermining patient autonomy through informed consent and violating the principles of beneficence (do good) and nonmaleficence (do no harm) for the practitioner. Through mechanisms such as the federal Stark law, public policy is critical in ensuring justice by prohibiting self-referral, protecting individual rights, implementing fair procedures, and distributing social goods equitably.
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