Ethics and Managed Care
Perkel, Robert L.
Medical Clinics of North America. 1996 Mar; 80(2): 263-278.
Managed care presents physicians with potential ethical dilemmas different from dilemmas in traditional fee-for-service practice. The ethical assumptions of managed care are explored, with special attention to the evolving dual responsibilities of physicians as patient advocates and as entrepreneurs. A number of proposals are described that delineate issues in support of and in opposition to managed care. Through an understanding of how to apply basic ethics principles to managed care participation, physicians may yet hold on to the basic ethic of the fiduciary doctor-patient relationship.
Autonomy; Beneficence; Confidentiality; Conflict of Interest; Consent; Consultation; Disclosure; Economics; Ethics; Gatekeeping; Health; Health Care; Health Care Reform; Incentives; Informed Consent; Justice; Managed Care Programs; Managed Care; Patient Care; Patient Care Team; Physician Patient Relationship; Physicians; Quality of Health Care; Referral and Consultation; Resource Allocation; Review; Risks and Benefits; Responsibilities; Treatment Outcome; Values; Withholding Treatment;
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