David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 11 (4) (1990)
The corporatization of U.S. health care has directed cost containment efforts toward scrutinizing the clinical decisions of physicians. This stimulated a variety of new utilization management interventions, particularly in hospital and managed care settings. Recent changes in fee-for-service medicine and physicians' traditional agency relationships with patients, purchasers, and insurers are examined here. New information systems monitoring of physician ordering behavior has already begun to impact on physician autonomy and the relationship of physicians to provider organizations in both for-profit and not-for-profit sectors. As managed care practice settings proliferate, serious ethical questions will be raised about agency relationships with patients.This article examines health system dynamics altering the historical agency relationship between the physician and patient and eroding the traditional autonomy of the medical profession in the United States. The corporatization of medicine and the accompanying information systems monitoring of physician productivity is seen to account of such change, now posing serious ethical dilemmas.
|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
Jerome Lowenstein (2005). The Midnight Meal and Other Essays About Doctors, Patients, and Medicine. University of Michigan Press.
Kenneth A. De Ville (1999). Managed Care and the Ethics of Regulation. Journal of Medicine and Philosophy 24 (5):492 – 517.
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.
Amy M. Bovi (2003). Ethical Guidelines for Use of Electronic Mail Between Patients and Physicians. American Journal of Bioethics 3 (3):43-47.
H. M. Dupuis (2000). Professional Autonomy: A Stumbling Block for Good Medical Practice. An Analysis and Interpretation. Theoretical Medicine and Bioethics 21 (5):493-502.
Allen E. Buchanan (1987). The Profit Motive in Medicine. Journal of Medicine and Philosophy 12 (1):1-35.
J. Warren Salmon (1987). The Medical Profession and the Corporatization of the Health Sector. Theoretical Medicine and Bioethics 8 (1).
Beverly Woodward (2001). Confidentiality, Consent and Autonomy in the Physician-Patient Relationship. Health Care Analysis 9 (3):337-351.
Gene H. Stollerman (1984). Promoting Patient Autonomy: Looking Back. Theoretical Medicine and Bioethics 5 (1).
Herman Nys & Paul Schotsmans (2000). Professional Autonomy in Belgium. Theoretical Medicine and Bioethics 21 (5):425-439.
Added to index2009-01-28
Total downloads6 ( #192,088 of 1,096,482 )
Recent downloads (6 months)3 ( #90,211 of 1,096,482 )
How can I increase my downloads?