What Future for Ethical Medical Practice in the New National Health Service?
Persaud, Rajendra D.
Journal of Medical Ethics. 1991 Mar; 17(1): 10-18.
The British Government is implementing some major alterations to the way health services in Great Britain are organised. As well as the introduction of competition between health care providers, their financial interests are to be linked to their output, in efforts to use market forces to increase efficiency and cut costs. This paper looks at the possible impact of these changes of health care organisation on ethical medical practice. This is investigated with particular reference to the country whose health care service has embraced most closely these elements of the market -- the United States of America. The question to be answered is whether high standards of ethical care are ensured by factors somehow intrinsic to the medical profession, and are therefore immune to changes in the economics of health care. This assumption is shown to be questionable in light of what is known about the determinants of ethical medical practice.
Advertising; Codes of Ethics; Deception; Decision Making; Diagnosis; Drug Industry; Economics; Education; Ethics; Evaluation; Evaluation Studies; Government; Health; Health Care; Health Care Delivery; Health Insurance; Health Services; Hospitals; Incentives; Indigents; Industry; Institutional Policies; Insurance; International Aspects; Justice; Medical Education; Medical Ethics; Medicine; Misconduct; Moral Policy; Physician's Role; Physicians; Policy Analysis; Political Systems; Public Policy; Refusal to Treat; Remuneration; Resource Allocation; Selection for Treatment; Social Impact; Standards; State Medicine;
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