David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 12 (2):107-122 (1987)
This article considers the ethical implications of prospective payment from the perspective of physicians and other health care practitioners. It focuses on the argument that prospective payment creates ethical conflict by giving physicians an economic incentive to do less for their patients. This argument is criticized in two respects. First, available evidence is reviewed which suggests that the incentives actually created by different prospective payment schemes and their effect on "optimal" patterns of practice is uncertain. Further, it is pointed out that ethical conflict originates in the dual role of physicians as agents and suppliers of service. Recognizing that such conflict exists under any payment mechanism, a better focus for the ethical evaluation of prospective payment is suggested that considers whether the incentive to do less is likely to have adverse effects on physician decisions, relative to decisions made under other payment mechanisms. Keywords: incentives, utilization, conflict of interest, efficiency, justice, agent CiteULike Connotea Del.icio.us What's this?
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
George J. Agich (1990). Rationing and Professional Autonomy. Journal of Law, Medicine and Ethics 18 (1-2):77-84.
Similar books and articles
Trevor Curnow (2000). Socrates, the Marketplace, and Money. Philosophy in the Contemporary World 7 (4):7-11.
Trisha B. Phillips (2011). A Living Wage for Research Subjects. Journal of Law, Medicine and Ethics 39 (2):243-253.
Alan Wertheimer (2013). Is Payment a Benefit? Bioethics 27 (2):105-116.
Andrew M. Pomerantz & Dan J. Segrist (2006). The Influence of Payment Method on Psychologists' Diagnostic Decisions Regarding Minimally Impaired Clients. Ethics and Behavior 16 (3):253 – 263.
Joe Feinglass (1987). Variations in Physician Practice and Covert Rationing. Theoretical Medicine and Bioethics 8 (1).
Amy M. Kielbasa, Andrew M. Pomerantz, Emily J. Krohn & Bryce F. Sullivan (2004). How Does Clients' Method of Payment Influence Psychologists' Diagnostic Decisions? Ethics and Behavior 14 (2):187 – 195.
Emily Largent, Christine Grady, Franklin G. Miller & Alan Wertheimer (2013). Misconceptions About Coercion and Undue Influence: Reflections on the Views of Irb Members. Bioethics 27 (9):500-507.
Thomas Halper (1987). Drgs and the Idea of a Just Price. Journal of Medicine and Philosophy 12 (2):155-164.
Joanne E. Backofen (1987). Ethical Issues in the Use of a Prospective Payment System: The Issue of a Severity of Illness Adjustment. Journal of Medicine and Philosophy 12 (2):145-153.
George J. Agich (1987). Incentives and Obligations Under Prospective Payment. Journal of Medicine and Philosophy 12 (2):123-144.
Added to index2010-08-16
Total downloads3 ( #289,480 of 1,098,410 )
Recent downloads (6 months)1 ( #285,057 of 1,098,410 )
How can I increase my downloads?