Perceived Safety and Value of Inpatient "Very Important Person" Services

J Hosp Med. 2017 Mar;12(3):177-179. doi: 10.12788/jhm.2701.


Providing care to "very important person" (VIP) patients can pose unique moral and value-based challenges for providers. No studies have examined VIP services in the inpatient setting. Through a multi-institutional survey of hospitalists, we assessed physician viewpoints and behavior surrounding the care of VIP patients. A significant proportion of respondents reported feeling pressured by patients, family members, and hospital representatives to provide unnecessary care to VIP patients. Based on self-reported perceptions, as well as case-based questions, we also found that the VIP status of a patient may impact physician clinical decision-making related to unnecessary medical care. Additional studies to quantify the use of VIP services and its effect on cost, resource availability, and patient-specific outcomes are needed. Journal of Hospital Medicine 2017;12:177-179.

MeSH terms

  • Female
  • Hospitalists / psychology
  • Hospitalists / standards*
  • Hospitalization*
  • Humans
  • Inpatients / psychology
  • Male
  • Patient Safety / standards*
  • Patient Satisfaction*
  • Perception*