
01/16/2025
The Closest Appropriate Facility Versus Patient Choice: A Delicate Balancing Act for the Stable Patient - https://ow.ly/hsEw50UHRyO
How does an EMS system weigh a patient’s interests with those of an EMS system and the community? There are four pillars of medical ethics that can guide this conflict:
1. Beneficence (help the patient)
2. Non-maleficence (do no harm)
3. Autonomy (respect the patient’s wishes)
4. Justice (be equitable to all persons in the community)
Giving the patient a degree of autonomy when they are in your care is advantageous. It increases their trust in the healthcare system, improves the patient-provider relationship and even mental health.
Regarding beneficence, patients may benefit from bypass due to remaining in the same medical system where they are receiving long-term care or because they need to stay in network for their health insurance.