Managed Care: "New Moves," Moral Uncertainty, and a Radical Attitude
Howe, Edmund G.
Journal of Clinical Ethics. 1995 Winter; 6(4): 290-305.
In this article I explore the concerns that care providers should take into account when they strive to provide optimal care to their patients under MCOs [managed care organizations]. I begin by discussing the decision to appeal, game the system, or pay for patients' treatments, the effects of discussing these decisions with patients, and consider how careproviders' negative attitudes toward and responses to MCOs -- expressed and unexpressed -- may adversely affect the quality of care they provide.
Administrators; Altruism; Attitudes; Autonomy; Conflict of Interest; Costs and Benefits; Deception; Disclosure; Dissent; Economics; Employment; Ethical Relativism; Health; Health Care; Health Insurance; Health Insurance Reimbursement; Health Services; Health Services Misuse; Insurance; Interprofessional Relations; Justice; Life; Managed Care Programs; Moral Policy; Managed Care; Obligations to Society; Organizations; Patient Care; Patients; Physician Patient Relationship; Physicians; Professional Patient Relationship; Psychological Stress; Quality of Health Care; Quality of Life; Resource Allocation; Treatment Outcome; Truth Disclosure; Uncertainty; Values;
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Howe, Edmund G. (1995-12)
Pellegrino, Edmund D. (1997-12)Managed care per se is a morally neutral concept; however, as practiced today, it raises serious ethical issues at the clinical, managerial, and social levels. This essay focuses on the ethical issues that arise at ...
Pellegrino, Edmund D. (1997-12)