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Volumn 128, Issue 5, 1998, Pages 395-402

Ethical practice in managed care: A dose of realism

Author keywords

[No Author keywords available]

Indexed keywords

DECISION MAKING; DIAGNOSTIC ACCURACY; FINANCIAL MANAGEMENT; INSURANCE; MANAGED CARE; MEDICAL ETHICS; PRACTICE GUIDELINE; PRIORITY JOURNAL; REVIEW; TREATMENT PLANNING;

EID: 0032032417     PISSN: 00034819     EISSN: None     Source Type: Journal    
DOI: 10.7326/0003-4819-128-5-199803010-00009     Document Type: Review
Times cited : (76)

References (72)
  • 1
    • 0027454598 scopus 로고
    • Medical practice under the Clinton reforms - Avoiding domination by business
    • Relman AS. Medical practice under the Clinton reforms - avoiding domination by business. N Engl J Med. 1993;329:1574-6.
    • (1993) N Engl J Med. , vol.329 , pp. 1574-1576
    • Relman, A.S.1
  • 2
    • 0029072274 scopus 로고
    • Managed care and the morality of the marketplace
    • Kassirir JP. Managed care and the morality of the marketplace. N Engl J Med. 1995;333:50-2.
    • (1995) N Engl J Med. , vol.333 , pp. 50-52
    • Kassirir, J.P.1
  • 3
    • 0030043361 scopus 로고    scopus 로고
    • Capitated payment for medical care and the role of the physician
    • Selker HP. Capitated payment for medical care and the role of the physician. Ann Intern Med. 1996;124:449-51.
    • (1996) Ann Intern Med. , vol.124 , pp. 449-451
    • Selker, H.P.1
  • 5
    • 0021761875 scopus 로고
    • The doctor's master
    • Levinsky NG. The doctor's master. N Engl J Med. 1984;311:1573-5.
    • (1984) N Engl J Med. , vol.311 , pp. 1573-1575
    • Levinsky, N.G.1
  • 6
    • 0028869742 scopus 로고
    • Preserving the physician-patient relationship in the era of managed care
    • Emanuel EJ, Dubler NN. Preserving the physician-patient relationship in the era of managed care. JAMA. 1995;273:323-9.
    • (1995) JAMA , vol.273 , pp. 323-329
    • Emanuel, E.J.1    Dubler, N.N.2
  • 8
    • 0028887888 scopus 로고
    • Ethical issues in managed care
    • Council on Ethical and Judicial Affairs, American Medical Association
    • Ethical issues in managed care. Council on Ethical and Judicial Affairs, American Medical Association. JAMA. 1995;273:330-5.
    • (1995) JAMA , vol.273 , pp. 330-335
  • 9
    • 0029561122 scopus 로고
    • A national survey of arrangements managed-care plans make with physicians
    • Gold MR, Hurley R, Lake T, Ensor T, Berenson R. A national survey of arrangements managed-care plans make with physicians. N Engl J Med. 1995; 333:1670-83.
    • (1995) N Engl J Med. , vol.333 , pp. 1670-1683
    • Gold, M.R.1    Hurley, R.2    Lake, T.3    Ensor, T.4    Berenson, R.5
  • 10
    • 0029610803 scopus 로고
    • The growth of medical groups paid through capitation in California
    • Robinson JC, Casalino LP. The growth of medical groups paid through capitation in California. N Engl J Med. 1995;333:1684-7.
    • (1995) N Engl J Med. , vol.333 , pp. 1684-1687
    • Robinson, J.C.1    Casalino, L.P.2
  • 11
    • 0040509348 scopus 로고    scopus 로고
    • Reduced H.M.O. fees cause concern about patient care
    • 25 November Section A
    • Rosenthal E. Reduced H.M.O. fees cause concern about patient care. The New York Times. 25 November 1996: Section A:1.
    • (1996) The New York Times , pp. 1
    • Rosenthal, E.1
  • 12
    • 0024294648 scopus 로고
    • Salaried physicians and economic incentives
    • Relman AS. Salaried physicians and economic incentives [Editorial]. N Engl J Med. 1988;319:784.
    • (1988) N Engl J Med. , vol.319 , pp. 784
    • Relman, A.S.1
  • 15
    • 0023284248 scopus 로고
    • Cost containment as a professional challenge
    • Brody H. Cost containment as a professional challenge. Theor Med. 1987; 8:5-17.
    • (1987) Theor Med. , vol.8 , pp. 5-17
    • Brody, H.1
  • 16
    • 0029367649 scopus 로고
    • Ethically important distinctions among managed care organizations
    • Christensen KT. Ethically important distinctions among managed care organizations. J Law Med Ethics. 1995;23:223-9.
    • (1995) J Law Med Ethics , vol.23 , pp. 223-229
    • Christensen, K.T.1
  • 17
    • 0023283754 scopus 로고
    • The ideal advocate and limited resources
    • Daniels N. The ideal advocate and limited resources. Theor Med. 1987;8:69.
    • (1987) Theor Med. , vol.8 , pp. 69
    • Daniels, N.1
  • 18
    • 0029444512 scopus 로고
    • Medical ethics in the era of managed care: The need for institutional structures instead of principles for individual cases
    • Emanuel EJ. Medical ethics in the era of managed care: the need for institutional structures instead of principles for individual cases. J Clin Ethics. 1995;6:335-8.
    • (1995) J Clin Ethics , vol.6 , pp. 335-338
    • Emanuel, E.J.1
  • 19
    • 0027210029 scopus 로고
    • Managed competition and the patient-physician relationship
    • Emanuel EJ, Brett AS. Managed competition and the patient-physician relationship. N Engl J Med. 1993;329:879-82.
    • (1993) N Engl J Med. , vol.329 , pp. 879-882
    • Emanuel, E.J.1    Brett, A.S.2
  • 20
    • 2642618564 scopus 로고
    • Rationing decisions in managed care settings: An ethical analysis
    • Misbin RI, Jennings B, Orentlicher D, Dewar M, eds. Frederick, MD: University Publishing Group
    • Goold SD, Brody H. Rationing decisions in managed care settings: an ethical analysis. In: Misbin RI, Jennings B, Orentlicher D, Dewar M, eds. Health Care Crisis? The Search for Answers. Frederick, MD: University Publishing Group; 1995:141.
    • (1995) Health Care Crisis? The Search for Answers , pp. 141
    • Goold, S.D.1    Brody, H.2
  • 21
    • 0027968583 scopus 로고
    • Managed competition and managed care. What are the ethical issues?
    • Jecker NS. Managed competition and managed care. What are the ethical issues? Clin Geriatr Med. 1994;10:527-540.
    • (1994) Clin Geriatr Med. , vol.10 , pp. 527-540
    • Jecker, N.S.1
  • 22
    • 0029367941 scopus 로고
    • Managed care as regulation: Functional ethics for a regulated environment
    • Johnson SH. Managed care as regulation: functional ethics for a regulated environment. J Law Med Ethics. 1995;23:266-72.
    • (1995) J Law Med Ethics , vol.23 , pp. 266-272
    • Johnson, S.H.1
  • 23
    • 0029367358 scopus 로고
    • Business vs. medical ethics: Conflicting standards for managed care
    • Mariner WK. Business vs. medical ethics: conflicting standards for managed care. J Law Med Ethics. 1995;23:236-46.
    • (1995) J Law Med Ethics , vol.23 , pp. 236-246
    • Mariner, W.K.1
  • 25
    • 0029450506 scopus 로고
    • Interests, obligations, and justice: Some notes toward an ethic of managed care
    • Pellegrino ED. Interests, obligations, and justice: some notes toward an ethic of managed care. J Clin Ethics. 1995;6:312-7.
    • (1995) J Clin Ethics , vol.6 , pp. 312-317
    • Pellegrino, E.D.1
  • 26
    • 0029088982 scopus 로고
    • The unbearable rightness of bedside rationing. Physician duties in a climate of cost containment
    • Ubel PA, Arnold RM. The unbearable rightness of bedside rationing. Physician duties in a climate of cost containment. Arch Intern Med. 1995;155: 1837-42.
    • (1995) Arch Intern Med. , vol.155 , pp. 1837-1842
    • Ubel, P.A.1    Arnold, R.M.2
  • 27
    • 0028395394 scopus 로고
    • Health care reform and the future of physician ethics
    • Wolf SM. Health care reform and the future of physician ethics. Hastings Cent Rep. 1994;24:28-41.
    • (1994) Hastings Cent Rep. , vol.24 , pp. 28-41
    • Wolf, S.M.1
  • 28
    • 0029846146 scopus 로고    scopus 로고
    • Quality of health care. Part 5: Payment by capitation and the quality of care
    • Berwick DM. Quality of health care. Part 5: Payment by capitation and the quality of care. N Engl J Med. 1996;335:1227-31.
    • (1996) N Engl J Med. , vol.335 , pp. 1227-1231
    • Berwick, D.M.1
  • 29
    • 0027989560 scopus 로고
    • A credo for ethical managed care in mental health practice
    • Sabin JE. A credo for ethical managed care in mental health practice. Hosp Community Psychiatry. 1994;45:859-60.
    • (1994) Hosp Community Psychiatry , vol.45 , pp. 859-860
    • Sabin, J.E.1
  • 30
    • 0031036098 scopus 로고    scopus 로고
    • Recognizing bedside rationing: Clear cases and tough calls
    • Ubel PA, Goold S. Recognizing bedside rationing: clear cases and tough calls. Ann Intern Med. 1997;126:74-80.
    • (1997) Ann Intern Med. , vol.126 , pp. 74-80
    • Ubel, P.A.1    Goold, S.2
  • 32
    • 0028521474 scopus 로고
    • Rationing health care at the bedside
    • Hall MA. Rationing health care at the bedside. New York University Law Review. 1994;69:693-780.
    • (1994) New York University Law Review , vol.69 , pp. 693-780
    • Hall, M.A.1
  • 33
    • 0042022173 scopus 로고
    • Doctors say H.M.O.s limit what they can tell patients
    • Section A
    • Pear R. Doctors say H.M.O.s limit what they can tell patients. The New York Times. 21 December 1995;Section A:1.
    • (1995) The New York Times. 21 December , pp. 1
    • Pear, R.1
  • 35
    • 0024503430 scopus 로고
    • A consumer-choice health plan for the 1990s. Universal health insurance in a system designed to promote quality and economy (1)
    • Enthoven A, Kronick R. A consumer-choice health plan for the 1990s. Universal health insurance in a system designed to promote quality and economy (1). N Engl J Med. 1989;320:29-37
    • (1989) N Engl J Med. , vol.320 , pp. 29-37
    • Enthoven, A.1    Kronick, R.2
  • 37
    • 0029050443 scopus 로고
    • Market-based reform: What to regulate and by whom
    • Millwood
    • Enthoven AC, Singer SJ. Market-based reform: what to regulate and by whom. Health Aff (Millwood). 1995;14:105-19.
    • (1995) Health Aff , vol.14 , pp. 105-119
    • Enthoven, A.C.1    Singer, S.J.2
  • 38
    • 0030040186 scopus 로고    scopus 로고
    • Integrated health care, capitated payment, and quality: The role of regulation
    • Swartz K, Brennan TA. Integrated health care, capitated payment, and quality: the role of regulation. Ann Intern Med. 1996;124:442-8.
    • (1996) Ann Intern Med. , vol.124 , pp. 442-448
    • Swartz, K.1    Brennan, T.A.2
  • 42
    • 0008565072 scopus 로고
    • Regulation as language: Communicating values by altering the contingencies of choice
    • Shapiro MH. Regulation as language: communicating values by altering the contingencies of choice. University of Pittsburgh Law Review. 1994;55:681.
    • (1994) University of Pittsburgh Law Review , vol.55 , pp. 681
    • Shapiro, M.H.1
  • 44
    • 0022785427 scopus 로고
    • Physicians at the bedside: Practitioners' thoughts and actions regarding bedside allocation of resources
    • Elkowitz A. Physicians at the bedside: practitioners' thoughts and actions regarding bedside allocation of resources. Journal of Medical Humanities and Bioethics. 1986;7:122-32.
    • (1986) Journal of Medical Humanities and Bioethics , vol.7 , pp. 122-132
    • Elkowitz, A.1
  • 45
    • 0002572137 scopus 로고
    • Individuals, interpersonal relations, and trust
    • Gambetta D, ed. New York: Basil Blackwell
    • Good D. Individuals, interpersonal relations, and trust. In: Gambetta D, ed. Trust: Making and Breaking Cooperative Relations. New York: Basil Blackwell; 1988.
    • (1988) Trust: Making and Breaking Cooperative Relations
    • Good, D.1
  • 46
    • 0029885355 scopus 로고    scopus 로고
    • The impact of managed care on patients' trust in medical care and their physicians
    • Mechanic D, Schlesinger M. The impact of managed care on patients' trust in medical care and their physicians. JAMA. 1996;275:1693-7.
    • (1996) JAMA , vol.275 , pp. 1693-1697
    • Mechanic, D.1    Schlesinger, M.2
  • 47
    • 0001947808 scopus 로고
    • Trust and distrust in professional ethics
    • Pellegrino ED, Veatch RM, Langan JP, eds. Washington, DC: Georgetown Univ Pr
    • Pellegrino ED. Trust and distrust in professional ethics. In: Pellegrino ED, Veatch RM, Langan JP, eds. Ethics, Trust, and the Professions: Philosophical and Cultural Aspects. Washington, DC: Georgetown Univ Pr; 1991.
    • (1991) Ethics, Trust, and the Professions: Philosophical and Cultural Aspects
    • Pellegrino, E.D.1
  • 48
    • 0008209077 scopus 로고
    • The phenomenon of trust and the patient-physician relationship
    • Pellegrino ED, Veatch RM, Langan JP, eds. Ethics, Washington, DC: Georgetown Univ Pr
    • Zaner RM. The phenomenon of trust and the patient-physician relationship. In: Pellegrino ED, Veatch RM, Langan JP, eds. Ethics, Trust and the Professions: Philosophical and Cultural Aspects. Washington, DC: Georgetown Univ Pr; 1991.
    • (1991) Trust and the Professions: Philosophical and Cultural Aspects
    • Zaner, R.M.1
  • 51
    • 0030438667 scopus 로고    scopus 로고
    • The house that Medicare built: Remodeling for the 21st century
    • Greenlick MR. The house that Medicare built: remodeling for the 21st century. Health Care Financ Rev. 1996;18:1-15.
    • (1996) Health Care Financ Rev. , vol.18 , pp. 1-15
    • Greenlick, M.R.1
  • 52
    • 0343901149 scopus 로고    scopus 로고
    • Trust and trustworthy care in the managed care era
    • Millwood
    • Gray BH. Trust and trustworthy care in the managed care era. Health Aff (Millwood). 1997;16:34-49.
    • (1997) Health Aff , vol.16 , pp. 34-49
    • Gray, B.H.1
  • 53
    • 0345908341 scopus 로고    scopus 로고
    • Measures of trust in health care
    • Millwood
    • Newcomer LN. Measures of trust in health care. Health Aff (Millwood). 1997;16:50-1.
    • (1997) Health Aff , vol.16 , pp. 50-51
    • Newcomer, L.N.1
  • 54
    • 26744462831 scopus 로고    scopus 로고
    • Bonus babies: "free agent" doctors are selling practices, signing job contracts
    • 12 March Section A
    • Tomsho R. Bonus babies: "free agent" doctors are selling practices, signing job contracts. Wall Street Journal. 12 March 1996;Section A:1.
    • (1996) Wall Street Journal , pp. 1
    • Tomsho, R.1
  • 56
    • 0343466679 scopus 로고    scopus 로고
    • Beyond competition
    • Millwood
    • Berenson RA. Beyond competition. Health Aff (Millwood). 1997;16:171-80.
    • (1997) Health Aff , vol.16 , pp. 171-180
    • Berenson, R.A.1
  • 57
    • 0029677237 scopus 로고    scopus 로고
    • Paying physicians more to do less: Financial incentives to limit care
    • Orentlicher D. Paying physicians more to do less: financial incentives to limit care. University of Richmond Law Review. 1996;30:155-97.
    • (1996) University of Richmond Law Review , vol.30 , pp. 155-197
    • Orentlicher, D.1
  • 58
    • 0022619127 scopus 로고
    • Capitation and conflict of interest
    • Millwood
    • Berenson RA. Capitation and conflict of interest. Health Aff (Millwood). 1986;5:141-6.
    • (1986) Health Aff , vol.5 , pp. 141-146
    • Berenson, R.A.1
  • 59
    • 0022580725 scopus 로고
    • Why saying no to patients in the United States is so hard. Cost containment, justice, and provider autonomy
    • Daniels N. Why saying no to patients in the United States is so hard. Cost containment, justice, and provider autonomy. N Engl J Med. 1986;314:1380-3.
    • (1986) N Engl J Med. , vol.314 , pp. 1380-1383
    • Daniels, N.1
  • 60
    • 0028768312 scopus 로고
    • Clinical decision making: From theory to practice. Principles for making difficult decisions in difficult times
    • Eddy DM. Clinical decision making: from theory to practice. Principles for making difficult decisions in difficult times. JAMA. 1994;271:1792-8.
    • (1994) JAMA , vol.271 , pp. 1792-1798
    • Eddy, D.M.1
  • 61
    • 0029919261 scopus 로고    scopus 로고
    • Disease management: New wine in old bottles?
    • Harris JM Jr. Disease management: new wine in old bottles? Ann Intern Med. 1996;124:838-42.
    • (1996) Ann Intern Med. , vol.124 , pp. 838-842
    • Harris Jr., J.M.1
  • 62
    • 0029123466 scopus 로고
    • Managed care and capitation in California: How do physicians at financial risk control their own utilization?
    • Kerr EA, Mittman BS, Hays RD, Siu AL, Leake B, Brook RH. Managed care and capitation in California: how do physicians at financial risk control their own utilization? Ann Intern Med. 1995;123:500-4.
    • (1995) Ann Intern Med. , vol.123 , pp. 500-504
    • Kerr, E.A.1    Mittman, B.S.2    Hays, R.D.3    Siu, A.L.4    Leake, B.5    Brook, R.H.6
  • 63
    • 0027198969 scopus 로고
    • Clinical decision making: From theory to practice. Three battles to watch in the 1990s
    • Eddy DM. Clinical decision making: from theory to practice. Three battles to watch in the 1990s. JAMA. 1993;270:520-6.
    • (1993) JAMA , vol.270 , pp. 520-526
    • Eddy, D.M.1
  • 64
    • 0025203198 scopus 로고
    • The cost and value of second surgical opinion programs: A critical review of the literature
    • Lindsey PA, Newhouse JP. The cost and value of second surgical opinion programs: a critical review of the literature. J Health Polit Policy Law. 1990; 15:543-70.
    • (1990) J Health Polit Policy Law , vol.15 , pp. 543-570
    • Lindsey, P.A.1    Newhouse, J.P.2
  • 65
    • 0026525842 scopus 로고
    • The case against persuasive advertising by health maintenance organizations
    • Brett AS. The case against persuasive advertising by health maintenance organizations. N Engl J Med. 1992;326:1353-6.
    • (1992) N Engl J Med. , vol.326 , pp. 1353-1356
    • Brett, A.S.1
  • 66
    • 2642686237 scopus 로고
    • Redefining full and fair disclosure of HMO benefits and limitations
    • Figa SF, Figa HM. Redefining full and fair disclosure of HMO benefits and limitations. Seton Hall Legislative Journal. 1990;14:151.
    • (1990) Seton Hall Legislative Journal , vol.14 , pp. 151
    • Figa, S.F.1    Figa, H.M.2
  • 67
    • 0345069323 scopus 로고
    • Should third party payors of health care services disclose cost control mechanisms to potential beneficiaries?
    • Hirschfeld EB. Should third party payors of health care services disclose cost control mechanisms to potential beneficiaries? Seton Hall Legislative Journal. 1990;14:115.
    • (1990) Seton Hall Legislative Journal , vol.14 , pp. 115
    • Hirschfeld, E.B.1
  • 68
    • 0023669628 scopus 로고
    • Toward full disclosure of referral restrictions and financial incentives by prepaid health plans
    • Levinson DF. Toward full disclosure of referral restrictions and financial incentives by prepaid health plans. N Engl J Med. 1987;317:1729-31.
    • (1987) N Engl J Med. , vol.317 , pp. 1729-1731
    • Levinson, D.F.1
  • 69
    • 0000426727 scopus 로고    scopus 로고
    • A theory of economic informed consent
    • Hall MA. A theory of economic informed consent. Georgia Law Review. 1997;31:511-86.
    • (1997) Georgia Law Review , vol.31 , pp. 511-586
    • Hall, M.A.1


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