Managed care and the imperative for a new professional ethic

Health Affairs

Volumn 19, Issue 5, 2000, Pages 100-111

  Mechanic, David ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ECONOMIC ASPECT; EVIDENCE BASED MEDICINE; FINANCIAL MANAGEMENT; HEALTH CARE AND PUBLIC HEALTH; HEALTH INSURANCE; HEALTH PERSONNEL ATTITUDE; HUMAN; MEDICAL ETHICS; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PATIENT ADVOCACY; PHYSICIAN; PROFESSIONAL PRACTICE; PSYCHOLOGICAL ASPECT; REVIEW; UNITED STATES;

HEALTH CARE AND PUBLIC HEALTH;

ATTITUDE OF HEALTH PERSONNEL; ECONOMIC COMPETITION; ETHICS, MEDICAL; EVIDENCE-BASED MEDICINE; HUMANS; MANAGED CARE PROGRAMS; MARKETING OF HEALTH SERVICES; ORGANIZATIONAL INNOVATION; PATIENT ADVOCACY; PHYSICIANS; PROFESSIONAL AUTONOMY; PROFESSIONAL PRACTICE; UNITED STATES;

EID: 0010527683     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.19.5.100     Document Type: Article

References (7)

1. J.C. Robinson, The Corporate Practice of Medicine: Competition and Innovation in Health Care (Berkeley: University of California Press, 1999); and T. Bodenheimer, "California's Beleaguered Physician Groups - Will They Survive?" New England Journal of Medicine 342, no. 14 (2000): 1064-1068.
2. J.C. Robinson, The Corporate Practice of Medicine: Competition and Innovation in Health Care (Berkeley: University of California Press, 1999); and T. Bodenheimer, "California's Beleaguered Physician Groups - Will They Survive?" New England Journal of Medicine 342, no. 14 (2000): 1064-1068.
3. In this paper I write generically about a new professional ethic, with the understanding that particular observations may not be relevant to all doctors. What they all share is the growing need to adapt to constraints and to evolve appropriate professional responses to changing circumstances.
4. M.D. Burdi and L.C. Baker, "Physicians' Perceptions of Autonomy and Satisfaction in California," Health Affairs (July/Aug 1999): 134-145.
5. J. Hadley et al., "Perceived Financial Incentives, HMO Market Penetration, and Physicians' Practice Styles and Satisfaction," Health Services Research 34, no. 1, Part II (1999): 307-321; and K. Grumbach et al., "Primary Care Physicians' Experience of Financial Incentives in Managed Care Systems," New England Journal of Medicine 339, no. 21 (1998): 1516-1521.
6. J. Hadley et al., "Perceived Financial Incentives, HMO Market Penetration, and Physicians' Practice Styles and Satisfaction," Health Services Research 34, no. 1, Part II (1999): 307-321; and K. Grumbach et al., "Primary Care Physicians' Experience of Financial Incentives in Managed Care Systems," New England Journal of Medicine 339, no. 21 (1998): 1516-1521.
7. J.P. Kassirer, "Doctor Discontent," New England Journal of Medicine 339, no. 21 (1998): 1543.