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ACP Weighs Ethics of ‘Concierge’ Medicine

The American College of Physicians (ACP) has released a policy position paper on the effect of direct patient contracting practices (DPCPs), or “concierge” practices, on medical quality, cost, access, and workforce.

The paper was published online November 10 in the Annals of Internal Medicine.

Robert Doherty, the ACP’s senior vice president for governmental affairs and public policy, writing for the Medical Practice and Quality Committee, said the ACP felt the timing was right to lay out practical and ethical considerations for such practice models, although scant research makes it hard to pinpoint how many physicians either use the model or plan to. Surveys studied for this paper estimate the proportion at between 1.3% and 9.6% of primary care practices.