Physicians who are involved in granting, denying, or terminating hospital privileges have an ethical responsibility to be guided by concern for the welfare and best interests of patients. They should:
- Base privilege decisions on:
- the candidate’s training, experience, demonstrated competence;
- the availability of facilities;
- the overall medical needs of the community, the hospital, and especially patients.
- Avoid basing privilege decisions on:
- numbers of patients the candidate has admitted to the facility;
- economic or insurance status of patients admitted by the candidate;
- personal friendships, antagonisms, jurisdictional disputes, or fear of competition.