Questão 567533

Instruções: Para responder às questões de números 18 a 19, leia o texto abaixo.

E-9.025 Patient Advocacy for Change in Law and Policy

Physicians may participate in individual acts, grassroots activities, or legally permissible collective action to advocate for change, as provided for in the AMA’s Principles of Medical Ethics. Whenever engaging in advocacy efforts, physicians 18 ensure that the health of patients is not jeopardized and that patient care is not compromised.

Formal unionization of physicians, and including physicians-in-training, may tie physicians’ obligations to the interests of workers who may not share physicians’ primary and overriding commitment to patients and the public health. Physicians should not form workplace alliances with those who do not share these ethical priorities.

Strikes and other collective action may reduce access to care, eliminate or delay necessary care, and interfere with continuity of care. Each of these consequences raises ethical concerns. Physicians should refrain from the use of the strike as a bargaining tactic. In rare circumstances, individual or grassroots actions, such as brief limitations of personal availability, may be appropriate as a means of calling attention to needed changes in patient care. Physicians are cautioned that some actions may put them or their organizations at risk of violating antitrust laws. Consultation with legal counsel is advised.

Physicians and physicians-in-training should press for needed reforms through the use of informational campaigns, non-disruptive public demonstrations, lobbying and publicity campaigns, and collective negotiation, or other options that do not jeopardize the health of patients or compromise patient care.

(Adapted from htpp://www.ama-assn.org/ama1/pub/upload/mm/38/a-05ceja.pdf)

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