The importance of management for understanding managed care.
This paper argues that the concept of management is critically important for understanding managed care. A proper interpretation of management is needed before a positive account of the ethics of managed care can be constructed. The paper discusses three aspects of management: administrative, clinical, and resource management, and compares the central commitments of traditional medical practice with those of managed care for each of these aspects. In so doing, the distinctive conceptual features of the managed care paradigm are discussed. The paper concludes by arguing that the concept of management implicit in the managed care paradigm affords a basis for building a more adequate ethic of managed care.
Agich
G J
GJ
Department of Bioethics, Cleveland Clinic Foundation, Ohio 44195, USA.
D004992:Ethics, Medical; D015276:Health Care Rationing; D006295:Health Resources / Q000458:organization & administration; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D015279:Organizational Culture; D009937:Organizational Objectives; D005791:Patient Care; D010686:Philosophy, Medical; D010817:Physician-Patient Relations; D011364:Professional Practice; D040841:Resource Allocation; D012941:Social Responsibility