Prospective payment and medical ethics
Journal of Medicine and Philosophy 12 (2):107-122 (1987)
| Abstract | 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 | ||||||||||
| Options |
|
|||||||||
Download options| PhilPapers Archive |
Upload a copy of this paper Check publisher's policy on self-archival Papers currently archived: 5,865 |
| External links |
 |
| Through your library | Configure |
Similar books and articlesTrevor 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.
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).
George J. Agich (1987). Incentives and Obligations Under Prospective Payment. Journal of Medicine and Philosophy 12 (2):123-144.
Analytics
Monthly downloads
Sorry, there are not enough data points to plot this chart.
|
Added to index2010-08-16Total downloads2 ( #234,650 of 556,803 )Recent downloads (6 months)1 ( #64,847 of 556,803 )How can I increase my downloads? |
My notes
Discussion
