Ethics of managed care: clinical and administrative implications for medical group practices.
This professional paper reviews several current ethical dilemmas: situations that may compromise the patient's dignity; a social thrust towards "universal" care that has left providers in a no-man's land of "to treat or not to treat" decisions; financial models which reduce available services, or that directly incentivize practices to withhold care. Behind each of these issues are values that managers [and physicians] must consider if they are to protect and improve the quality of health care.
Philip
D J
DJ
Northwest Surgical Associates Inc., Portland, OR 97210-2608, USA.
D004992:Ethics, Medical; D006123:Group Practice / Q000592:standards*; D006298:Health Services Administration; D006801:Humans; D008329:Managed Care Programs / Q000592:standards*; D009922:Oregon; D014481:United States