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Books, Journals, New Media
August 6, 2003

Dual Loyalty

Author Affiliations

Books, Journals, New Media Section Editor: Harriet S. Meyer, MD, Contributing Editor, JAMA; David H. Morse, MS, University of Southern California, Norris Medical Library, Journal Review Editor.

JAMA. 2003;290(5):671-672. doi:10.1001/jama.290.5.671

Dual loyalty refers to the conflicting demands on health professionals who have obligations to their patients and to states or other parties. Such conflicts can give rise to an array of ethical and human rights challenges, particularly in settings in which governments or their agents are engaged in ongoing rights violations.

These conflicts include health professional participation in state interrogation, torture, and capital punishment, the conflicting demands of patient care and employer interests placed on occupational medicine practitioners, and the special pressures on those working in prisons, the military, and health maintenance organizations.

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