Maintaining Professionalism in Today's Business Environment: Ethical Challenges for the Pain Medicine Specialist

摘要: Objective. There are many external influences in today's market force that impair the relationship between pain medicine specialist and patient, ultimately prevent optimal quality of care. This article explores ethical challenges facing increasingly “business” environment will offer solutions for maintaining professionalism medicine. Discussion. Four commonly encountered bioethical principles practice reviewed: beneficence, nonmaleficence, justice, autonomy. The following practicing outside ones specialty area, characteristics, consultant role, economic lure aggressive intervention, not evaluating treating comorbid psychopathology, reimbursement pressures, workers' compensation, use unproven methods. Conclusions. Solutions offered include collegial associations, social responsibility, legislative initiatives, education, interdisciplinary evaluation treatment, improved relationships with third-party payers, reduced racial disparities, ethics education. Ethics is “roadmap” enables to navigate murky waters management today by necessary combat pressures.