{"id":22946,"date":"2020-11-27T21:26:04","date_gmt":"2020-11-27T21:26:04","guid":{"rendered":"https:\/\/www.lifeandnews.com\/articles\/?p=22946"},"modified":"2020-11-28T04:42:36","modified_gmt":"2020-11-28T04:42:36","slug":"the-pitfalls-of-hospitals-seeking-donations-from-their-rich-patients","status":"publish","type":"post","link":"https:\/\/www.lifeandnews.com\/articles\/the-pitfalls-of-hospitals-seeking-donations-from-their-rich-patients\/","title":{"rendered":"The pitfalls of hospitals seeking donations from their rich patients"},"content":{"rendered":"<p><a href=\"https:\/\/theconversation.com\/profiles\/sara-konrath-423939\">Sara Konrath<\/a>, <em><a href=\"https:\/\/theconversation.com\/institutions\/iupui-2368\">IUPUI<\/a><\/em> and <a href=\"https:\/\/theconversation.com\/profiles\/reshma-jagsi-1168769\">Reshma Jagsi<\/a>, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-michigan-1290\">University of Michigan<\/a><\/em><\/p>\n<p><em>The <a href=\"https:\/\/theconversation.com\/us\/topics\/research-brief-83231\">Research Brief<\/a> is a short take about interesting academic work.<\/em><\/p>\n<h2>The big idea<\/h2>\n<p>Most Americans find a number of common hospital fundraising practices ethically unacceptable, according to a <a href=\"https:\/\/www.doi.org\/10.1001\/jama.2020.9442\">new study published in July<\/a>. Examples of these sometimes troubling approaches included providing people who have a track record of making large donations with concierge services such as nicer rooms or doctor\u2019s cellphone numbers, <a href=\"https:\/\/www.givinginstitute.org\/news\/250351\/The-HIPAA-Privacy-Rule-What-Fundraisers-Need-to-Know.htm\">screening patients<\/a> to identify those who are wealthy enough to give lots of money to charity and getting doctors directly involved with fundraising efforts that involve their current or former patients.<\/p>\n<p>We found that 85% of the people who took our survey agreed that patients feel good when they donate to the hospitals where they received their medical care.<\/p>\n<p>Yet 83% said they felt that when doctors talk with their patients about donating, it may interfere with the patient-physician relationship. And 91% said they believed that patients may feel pressure to donate if their doctor personally asks them to make a charitable contribution to support that hospital.<\/p>\n<p>Although we conducted the <a href=\"https:\/\/www.doi.org\/10.1001\/jama.2020.9442\">nationally representative survey<\/a> of 513 people in February 2019, we believe it\u2019s still relevant today because of the <a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2020\/10\/22\/926264615\/covid-19-surges-in-rural-communities-overwhelming-some-local-hospitals\">large number of COVID-19 hospitalizations<\/a>.<\/p>\n<p><iframe loading=\"lazy\" id=\"MGPmz\" class=\"tc-infographic-datawrapper\" style=\"border: none;\" src=\"https:\/\/datawrapper.dwcdn.net\/MGPmz\/2\/\" width=\"100%\" height=\"400px\" frameborder=\"0\"><\/iframe><\/p>\n<h2>Why it matters<\/h2>\n<p>Our findings are consistent with prior work showing that <a href=\"https:\/\/doi.org\/10.1200\/JCO.2015.62.6804\">doctors worry about how their relationships with patients may be affected<\/a> by hospital fundraising.<\/p>\n<p>U.S. <a href=\"https:\/\/www.advisory.com\/daily-briefing\/2018\/12\/04\/philanthropic-gifts\">hospitals rely on donations<\/a> to cover some of the cost of providing care for patients, to perform medical research and to educate future health care professionals. Medical centers tied to universities alone raised over <a href=\"https:\/\/www.aamc.org\/system\/files\/2020-08\/2019-fundraising-data-executive-summary.pdf\">US$9.7 billion<\/a> in the 2018-2019 academic year from their donors.<\/p>\n<p>Since nearly everyone will spend some time in hospitals during their lives, we believe that it is important to ask people from a broad variety of backgrounds and perspectives what they think about these issues. Despite these practices being legally permitted, no one had previously asked members of the general public what they thought about the \u201c<a href=\"https:\/\/www.advisory.com\/-\/media\/Advisory-com\/Research\/PHIL\/Expert-Insights\/2016\/Grateful-Patient-Survey-Brief.pdf\">grateful patient<\/a>\u201d fundraising programs that three out of four hospitals have, according to a 2016 survey.<\/p>\n<p>We conducted this research after participating in the <a href=\"https:\/\/www.jhmpi.org\/leadership\/summit-on-ethics\/\">2017 Summit on the Ethics of Grateful Patient Fundraising<\/a>. The summit brought together a multidisciplinary group that included patients who have made charitable donations to hospitals where they have received medical care, physicians, bioethicists, lawyers, hospital administrators, fundraising professionals, social scientists and representatives of professional associations.<\/p>\n<p><a href=\"https:\/\/dx.doi.org\/10.1097%2FACM.0000000000002365\/\">One conclusion<\/a> of that summit was that health care organizations need to learn what the public thinks about fundraising from patients during their hospital stays to better understand the ethical implications of those practices. That\u2019s what motivated our study.<\/p>\n<h2>What still isn\u2019t known<\/h2>\n<p>We know that <a href=\"https:\/\/www.advisory.com\/-\/media\/Advisory-com\/Research\/PHIL\/Expert-Insights\/2016\/Grateful-Patient-Survey-Brief.pdf\">some hospitals are using these practices<\/a> and that <a href=\"https:\/\/www.givinginstitute.org\/news\/250351\/The-HIPAA-Privacy-Rule-What-Fundraisers-Need-to-Know.htm\">they are legal<\/a>. Yet future research is needed to better understand how common these fundraising efforts are, especially those that people who completed our survey deemed ethically unacceptable.<\/p>\n<p>In addition, we acknowledge that the ethical issues related to this are complex. This study just marks one step toward informing ethical guidelines for fundraising conducted during and after a patient\u2019s hospital stay.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img loading=\"lazy\" style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;\" src=\"https:\/\/counter.theconversation.com\/content\/147646\/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" \/><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/sara-konrath-423939\">Sara Konrath<\/a>, Associate Professor, Indiana University, Lilly Family School of Philanthropy, <em><a href=\"https:\/\/theconversation.com\/institutions\/iupui-2368\">IUPUI<\/a><\/em> and <a href=\"https:\/\/theconversation.com\/profiles\/reshma-jagsi-1168769\">Reshma Jagsi<\/a>, Deputy Chair of Radiation Oncology and Director of the Center for Bioethics and Social Sciences in Medicine, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-michigan-1290\">University of Michigan<\/a><\/em><\/p>\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/the-pitfalls-of-hospitals-seeking-donations-from-their-rich-patients-147646\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sara Konrath, IUPUI and Reshma Jagsi, University of Michigan The Research Brief is a short take about interesting academic work. The big idea Most Americans find a number of common hospital fundraising practices ethically unacceptable, according to a new study published in July. Examples of these sometimes troubling approaches included providing people who have a [&hellip;]<\/p>\n","protected":false},"author":44,"featured_media":22947,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[42],"tags":[9025,1725,3465,7259,7290,3050,2197,7727],"_links":{"self":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/22946"}],"collection":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/comments?post=22946"}],"version-history":[{"count":2,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/22946\/revisions"}],"predecessor-version":[{"id":22954,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/22946\/revisions\/22954"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media\/22947"}],"wp:attachment":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media?parent=22946"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/categories?post=22946"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/tags?post=22946"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}