Physician Referral -- the AMA View
Todd, James S.
Horan, Janet K.
JAMA. 1989 Jul 21; 262(3): 395-396.
Todd and Horan present the American Medical Association's view of the problem of physician referral of patients to health facilites in which the physician has a financial interest. Studies of physician referral by the federal government and the AMA raise additional questions about the relationship between physician ownership and utilization of services. The AMA argues against banning legitimate investments, an action that it believes would adversely affect access to care, the introduction of new technology, and efforts to improve care and reduce costs. It proposes the development of clear guidelines on physician ownership and referral practices that should include: (a) standards for investment options, (b) establishment of a process to help physicians determine the legality of proposed investment in advance, and (c) establishment of a phase-in period for federal regulations and/or legislation and required divestiture. (KIE abstract)
Conflict of Interest; Economics; Ethics; Federal Government; Government; Guidelines; Health; Health Care; Health Facilities; Industry; Legislation; Motivation; Organizational Policies; Organizations; Ownership; Patients; Physician Self-Referral; Physicians; Professional Organizations; Regulation; Risks and Benefits; Standards; Technology;
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Health Care Reform, Volume Ii: Issues Relating to Private Health Insurance Reform Physician Ownership and Referral Arrangements and H.r. 345, "the Comprehensive Physician Ownership and Referral Act of 1993" Unknown author (United States. Congress. House. Committee on Ways and Means. Subcommittee on Health, 1993)