Ethics and managed care.
Managed care presents physicians with potential ethical dilemmas different from dilemmas in traditional fee-for-service practice. The ethical assumptions of managed care are explored, with special attention to the evolving dual responsibilities of physicians as patient advocates and as entrepreneurs. A number of proposals are described that delineate issues in support of and in opposition to managed care. Through an understanding of how to apply basic ethics principles to managed care participation, physicians may yet hold on to the basic ethic of the fiduciary doctor-patient relationship.
Perkel
R L
RL
Department of Family Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
D026686:Beneficence; D030881:Disclosure; D004991:Ethics, Institutional; D008329:Managed Care Programs / Q000592:standards*; D026684:Personal Autonomy; D040841:Resource Allocation; D018570:Risk Assessment; D012945:Social Values; D014481:United States; D035862:Vulnerable Populations; D028761:Withholding Treatment