Conscience and Conscientious Actions in the Context of MCOs
Childress, James F.
Kennedy Institute of Ethics Journal. 1997 Dec; 7(4): 403-411.
Managed care organizations can produce conflicts of obligation and conflicts of interest that may lead to problems of conscience for health care professionals. This paper provides a basis for understanding the notions of conscience and conscientious objection and offers a framework for clinicians to stake out positions grounded in personal conscience as a way for them to respond to unacceptable pressures from managers to limit services.
Conflict of Interest; Conscience; Contracts; Consultation; Deception; Disclosure; Dissent; Economics; Employment; Gatekeeping; Government; Government Regulation; Health; Health Care; Health Maintenance Organizations; Incentives; Legal Obligations; Managed Care Programs; Moral Complicity; Moral Obligations; Managed Care; Managers; Organizations; Patients; Physicians; Public Policy; Referral and Consultation; Regulation; Remuneration; Review; Whistleblowing; Withholding Treatment;
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Civil Disobedience, Conscientious Objection, and Evasive Noncompliance: A Framework for the Analysis and Assessment of Illegal Actions in Health Care Childress, James F. (1985-02)The author explores some of the conceptual and moral issues raised when health care professionals or laypersons disobey laws related to health care. He sketches a framework for the moral justification of three major types ...