‘The best interest of patients, not self-interest’: how clinicians understand altruism

Author:

Sajjad Madiha,Qayyum Shazia,Iltaf Samina,Khan Rehan Ahmed

Abstract

Abstract Background Altruism refers to acting in ‘the best interest of patients, not self-interest’. With an observed discordance between the concept and practice of altruism, and increasing attention to ‘pathologic altruism’, the role of altruism is blurred in present day medical care. In this background, the required balance of altruistic attitude which needs to be fostered in medical students needs clarity. This problem may be best addressed by the practicing clinicians. The objectives of this study were to explore clinicians’ understanding of altruism in the clinical context and to identify the key concepts of altruism which they felt, must be included in clinical practice. Methods It was an exploratory qualitative study to identify clinicians’ understanding of altruism and the key practice points for altruism. Online semi-structured interviews were conducted from 18 clinicians through Zoom and transcribed using Otter. Open coding of interview transcripts was done using Atlas ti 8 and grouped by commonalities under sub themes and themes. Results The main concepts regarding the clinicians’ understanding of altruism were prioritizing patients’ interest above oneself, favouring patients beyond routine duty and organized team work for practicing altruism. The essential practice areas identified for altruism were finding a balance between altruistic tendency and self/family life, identifying one’s individual capacity for altruism, establishing teamwork for developing a workplace altruistic attitude, and facilitating patients beyond routine duty. Conclusions Altruism is an important professionalism attribute for clinicians, however prioritizing patients interest requires a balanced approach so that it is effective and sustainable. Workplace altruistic cultures may be better promoted through organized team-based approach rather than individual efforts.

Publisher

Springer Science and Business Media LLC

Subject

Education,General Medicine

Reference24 articles.

1. Stobo, J., Kohen, J., Kimball, H., LaCombe, M., Schechter, G., & Blank L (1995). American Board of Internal Medicine. Project Professionalism. Philadelphia, PA: American Board of Internal Medicine. 1995.

2. Merriam-Webster medical dictionary[Internet].Springfield (MA): Merriam-Webster Incorporated; c2021. Available from: https://www.merriam-webster.com/dictionary/altruism.

3. Burks DJ, Kobus AM. The legacy of altruism in health care: The promotion of empathy, prosociality and humanism. Med Educ. 2012;46:317–25.

4. Harris J. Altruism: Should it be Included as an Attribute of Medical Professionalism? Heal Prof Educ. Elsevier BV; 2018;4:3–8. https://doi.org/10.1016/j.hpe.2017.02.005.

5. Marynissen K, Spurrier B. Becoming the “good doctor”: medical students’ views on altruism and professional identity. MedEdPublish. Association for Medical Education in Europe (AMEE); 2018;7.

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