Managed Care at the Bedside: How Do We Look in the Moral Mirror?
Pellegrino, Edmund D.
Kennedy Institute of Ethics Journal. 1997 Dec; 7(4): 321-330.
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 the bedside, looking first at the ethical conflicts faced by the physician who is charged with responsibility for care of the patient and then turning to the way in which managed care exacts costs that are measured not in dollars but in compromises in the caring dimensions of the patient-physician relationship.
Beneficence; Biomedical Technologies; Caring; Competence; Conflict of Interest; Contracts; Disclosure; Economics; Employment; Gatekeeping; Health; Health Care; Medicine; Moral Obligations; Managed Care; Obligations to Society; Patient Advocacy; Patient Care; Physician Patient Relationship; Physician's Role; Physicians; Professional Competence; Professional Patient Relationship; Quality of Health Care; Resource Allocation; Sociology; Sociology of Medicine; Technical Expertise; Vulnerable Populations; Withholding Treatment;
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Pellegrino, Edmund D. (1997-12)
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