[The ethical implications of prospective payment and patient care].
With the introduction of the new prospective payment system considerable concern is being expressed that with the dominant emphasis on coasts, the principals of access and quality might be compromised. A new concept now emerged in care: productivity. How can we conjugate with the preset price for services to its beneficiaries based on average coasts of hospital care for patients' quality of care, patients and nursing team expectations and ethic? Which room will have ethic in that new way of redefining care? Will it be a risk that some patients may become "outliers"? Will the service take over the care?
Thiriet-Pfeil
Francine
F
Centre Paul-Strauss, rue de la Porte-de-l'Hôpital, Strasbourg, France. fpfeil@strasbourg.fnclcc.fr
D005602:France; D017048:Health Care Costs / Q000331:legislation & jurisprudence; D018166:Health Care Reform / Q000331:legislation & jurisprudence; D006699:Home Care Services / Q000191:economics / Q000331:legislation & jurisprudence; D016304:Hospitals, Private / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006779:Hospitals, Public / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006801:Humans; D005791:Patient Care / Q000191:economics / Q000941:ethics*; D011445:Prospective Payment System / Q000191:economics / Q000941:ethics* / Q000331:legislation & jurisprudence; D011785:Quality Assurance, Health Care / Q000941:ethics / Q000331:legislation & jurisprudence; D040841:Resource Allocation / Q000331:legislation & jurisprudence