David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Cambridge Quarterly of Healthcare Ethics 9 (2):189-204 (2000)
The bioethics literature on managed care has devoted significant attention to a broad range of conflicts that managed care is perceived to have introduced into the practice of medicine. In the first part of this paper we discuss three kinds of conflict of interest: conflicts of economic incentives, conflicts with patient and physician autonomy, and conflicts with the fiduciary character of the physician–patient relationship. We argue that the conflicts are either not as serious as they are often alleged to be or not unique to managed care. In part two we argue that managed care represents a new paradigm for medical care that features a new concept of management. We discuss three types or levels of management that managed care highlights, namely, administrative, clinical, and resource, which together offer a more sophisticated vantage point from which to assess patient care. We do not endorse managed care, but attempt to highlight some of the positive changes brought by managed care that were difficult to attain under traditional reimbursement systems
|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
No citations found.
Similar books and articles
George G. J. Agich (1999). The Importance of Management for Understanding Managed Care. Journal of Medicine and Philosophy 24 (5):518 – 534.
Laurence B. McCullough (1999). A Basic Concept in the Clinical Ethics of Managed Care: Physicians and Institutions as Economically Disciplined Moral Co-Fiduciaries of Populations of Patients. Journal of Medicine and Philosophy 24 (1):77 – 97.
Madison Powers (1997). Managed Care: How Economic Incentive Reforms Went Wrong. Kennedy Institute of Ethics Journal 7 (4):353-360.
Marc A. Rodwin (2010). The Metamorphosis of Managed Care: Implications for Health Reform Internationally. Journal of Law, Medicine & Ethics 38 (2):352-364.
Sharmon Sollitto, Sharona Hoffman, Maxwell J. Mehlman, Robert J. Lederman, Stuart J. Youngner & Michael M. Lederman (2003). Intrinsic Conflicts of Interest in Clinical Research: A Need for Disclosure. Kennedy Institute of Ethics Journal 13 (2):83-91.
George W. Rimler & Richard D. Morrison (1993). The Ethical Impacts of Managed Care. Journal of Business Ethics 12 (6):493 - 501.
Martin Gunderson (1997). Eliminating Conflicts of Interest in Managed Care Organizations Through Disclosure and Consent. Journal of Law, Medicine & Ethics 25 (2-3):192-198.
Edmund D. Pellegrino (1997). Managed Care at the Bedside: How Do We Look in the Moral Mirror? Kennedy Institute of Ethics Journal 7 (4):321-330.
James F. Childress (1997). Conscience and Conscientious Actions in the Context of MCOs. Kennedy Institute of Ethics Journal 7 (4):403-411.
Larry R. Churchill (1999). The United States Health Care System Under Managed Care: How the Commodification of Health Care Distorts Ethics and Threatens Equity. [REVIEW] Health Care Analysis 7 (4):393-411.
Laurie Zoloth (1999). The Best Laid Plans: Resistant Community and the Intrepid Vision in the History of Managed Care Medicine. Journal of Medicine and Philosophy 24 (5):461 – 491.
Andrew M. Pomerantz (2000). What If Prospective Clients Knew How Managed Care Impacts Psychologists' Practice and Ethics? An Exploratory Study. Ethics and Behavior 10 (2):159 – 171.
David B. Resnik (1998). Conflicts of Interest in Science. Perspectives on Science 6 (4):381-408.
Andrea Frolic & Paula Chidwick (2010). A Pilot Qualitative Study of “Conflicts of Interests and/or Conflicting Interests” Among Canadian Bioethicists. Part 2: Defining and Managing Conflicts. [REVIEW] HEC Forum 22 (1):19-29.
Diane E. Hoffmann (1998). Pain Management and Palliative Care in the Era of Managed Care: Issues for Health Insurers. Journal of Law, Medicine & Ethics 26 (4):267-289.
Added to index2010-08-24
Total downloads16 ( #220,607 of 1,792,985 )
Recent downloads (6 months)5 ( #169,853 of 1,792,985 )
How can I increase my downloads?