The Soliciting Physicians' Ethical Attitudes and Knowledge project, or SPEAK, is a series of physician surveys on contemporary ethical issues of importance. The surveys are national in scope, including both AMA member physicians and non-members.
Over time, these surveys will address issues that all physician may face, such as ethical barriers in responding to the threat of bio-terrorism, consumerism and direct to consumer advertising in medicine, the impact of debt load on physician professionalism, and investigating the social standing of medical professionals. Survey topics are selected by Institute staff in consultation with national expert advisors and the surveys are designed and implemented with a goal of publication of the results in the peer-reviewed literature.
Some publications from SPEAK surveys:
Wynia MK, Cummins DS, VanGeest JB, Wilson IB. Physician manipulation of reimbursement rules for patients: between a rock and a hard place. JAMA. 2000; 283(14):1858-1865.
VanGeest JB, Wynia MK, Cummins DS, Wilson IB. Effects of different monetary incentives on the return rate of a national mail survey of physicians. Med Care 2001;39(2):197-201.
Wynia MK, Zucker D, Supran S, Selker, H. Patient Protection and Risk Selection: Do primary care physicians encourage their patients to join or avoid capitated health plans according to the patients’ health status? J Gen Intern Med. 2002;17:40-47.
VanGest JB, Wynia MK, Cummins DS, Wilson IB. Measuring Deception: Test-Retest Reliability of Physicians’ Self-Reported Manipulation of Reimbursement Rules for Patients. Med Care Res Rev. 2002;59(2):184-196.
Wynia MK, VanGeest JB, Cummins DS, Wilson IB. Do physicians not offer useful services because of coverage restrictions? Health Affairs 2003;22(4):190-197.
Alexander GC, Wynia MK. Ready and willing? Physician readiness and willingness to treat potential victims of bioterror. Health Affairs 2003; 22(5): 189-197.
Weiner SJ, VanGeest JB, Wynia MK, Cummins DS, Wilson IB. Falling into Line: The Impact of Utilization Review Hassles on Physician Adherence to Insurance Contracts. J Clin Ethics 2004 Summer;15(2):139-48.
Other survey topics with publications in development:
Health information privacy
Quality health care for minority patients