title: Managed care and the imperative for a new professional ethic.
abstract: Physicians complain about the growth of managed care structures and strategies and their effects on treatment autonomy and medical professionalism. Organizational changes and a competitive marketplace make the traditional view less relevant today. New concepts of professionalism are needed that recognize constraints and include patient advocacy within a framework of procedural justice, responsibility for population health, new patient partnerships, and participation in an evidence-based culture. Such changes require more focused efforts in medical education to support the new professionalism.
authors.forename: D
authors.initials: D
authors.lastname: Mechanic
mesh_terms: D001291:Attitude of Health Personnel; D004465:Economic Competition; D004992:Ethics, Medical; D019317:Evidence-Based Medicine; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D008389:Marketing of Health Services; D009936:Organizational Innovation; D010344:Patient Advocacy; D010820:Physicians / Q000523:psychology*; D017009:Professional Autonomy; D011364:Professional Practice; D014481:United States