Table 2

Comparison of US and UK doctors' responses to value statements

Value statementCountry of surveyAdjusted percentages (strongly agreeing with statement)SEp Value
Making the patient your first concern, avoiding conflicts of interest
 Doctors should put patients' welfare above the doctor's own financial interestsUSA78.71.370.1932
UK82.32.23
 Doctors should disclose their financial relationships with drug/medical device companies to their patientsUSA65.41.580.0465
UK58.92.76
Providing good care, commitment to improving care, keeping up to date
 Doctors should participate in peer review of the quality of care provided by colleagues—for example, by reviewing their recordsUSA54.91.67<0.0001
UK68.42.61
 Doctors should undergo periodic recertification examinations throughout their career.USA53.91.66<0.0001
UK23.42.44
Taking action (including relevant reporting) to deal with colleagues' poor performance
 Doctors should report all instances of significantly impaired or incompetent colleagues to relevant authoritiesUSA63.11.610.2601
UK59.32.82
Maintaining confidentiality of information about patients and their conditions
 Doctors should never disclose confidential patient health information to an unauthorised individualUSA91.10.970.0026
UK96.30.99
Being truthful to patients and to colleagues, including when things go wrong
 Doctors should disclose all significant medical errors to patients who have been affectedUSA63.51.640.0384
UK70.22.57
 Doctors should fully inform all patients of the benefits and risks of a procedure or course of treatmentUSA88.41.07<0.0001
UK73.82.44
 Doctors should never tell a patient something that is not true (assuming the patient is competent)USA83.21.240.387
UK85.31.94
Avoiding inappropriate relationships with patients
 Joint business ventures with patients are ‘never appropriate’USA46.71.62<0.0001
UK60.02.69
 Sexual relationships with patients are ‘never appropriate’USA92.10.920.8174
UK91.71.53
 Accepting modest gifts from patients or patients' families is ‘never appropriate’USA11.51.060.0426
UK7.21.6
Avoiding discrimination—for example, on grounds of race and creed
 Doctors should minimise disparities in care due to patient race, gender or incomeUSA84.21.210.0569
UK88.71.82
  • Values adjusted for country differences in gender, years since qualification, specialty, country of graduation and part-time working

  • Home graduate: graduate from a medical school in the country of survey (USA/Canada or UK).

  • Working full time: ≥40 h/week.