Professionalism and clinical autonomy in the practice of medicine

Mount Sinai Journal of Medicine

Volumn 69, Issue 6, 2002, Pages 370-377

  Morreim, E Haavi ^a  

^a UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE   (United States)

Author keywords

Clinical autonomy; Cost containment; Law; Managed care; Professionalism; RICO racketeering

Indexed keywords

ACETYLSALICYLIC ACID; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR;

ARTICLE; CONGESTIVE HEART FAILURE; CONTRACT; COST CONTROL; COST EFFECTIVENESS ANALYSIS; CRIMINAL BEHAVIOR; EVIDENCE BASED MEDICINE; FORGERY; HEALTH CARE COST; HEALTH INSURANCE; HEART INFARCTION; HUMAN; LAW SUIT; LEGAL LIABILITY; MANAGED CARE; MEDICAL DECISION MAKING; MEDICAL PRACTICE; MEDICAL PROFESSION; PRACTICE GUIDELINE; PROFESSIONAL PRACTICE; PROFESSIONAL STANDARD;

CLINICAL MEDICINE; HUMANS; JURISPRUDENCE; MANAGED CARE PROGRAMS; PHYSICIANS; PROFESSIONAL AUTONOMY; PROFESSIONAL COMPETENCE; SUPREME COURT DECISIONS; UNITED STATES;

EID: 0036848579     PISSN: 00272507     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (63)

1. Starr P. The social transformation of American medicine. New York: Basic Books Inc.; 1982.
2. Morreim EH. Balancing act. Dordrecht (The Netherlands): Kluwer Academic Publishers; 1991. [Reprinted in paper-back, Washington (DC): Georgetown University Press; 1995.]
3. Havighurst CC. Health care choices: private contracts as instruments of health reform. Washington (DC): The AEI Press; 1995.
4. Butler SM, Haislmaier EF, editors. Critical issues: a national health system for America. Washington (DC): The Heritage Foundation; 1989.
5. Morreim EH. Redefining quality by reassigning responsibility. Am J Law Med 1994; 20:79-104.
6. Roe BB. The UCR boondoggle: a death knell for private practice? N Engl J Med 1981; 305:41-45.
7. Delbanco TL, Meyers KC, Segal EA. Paying the physician's fee: Blue Shield and the reasonable charge. N Engl J Med 1979; 301:1314-1320.
8. Blumenthal D. Health care reform at the close of the 20th century. N Engl J Med 1999; 340:1916-1920.
9. Morreim EH. Gaming the system: dodging the rules, ruling the dodgers. Arch Intern Med 1991; 151(3):443-447.
10. Novack DH, Detering BJ, Arnold R, et al. Physicians' attitudes toward using deception to resolve difficult ethical problems. JAMA 1989; 261:2980-2985.
11. Freeman VG, Rathore SS, Weinfurt KP, et al. Lying for patients: physician deception of third-party payers. Arch Intern Med 1999; 159:2263-2270.
12. Wynia MK, Cummins DS, VanGeest JB, Wilson IB. Physician manipulation of reimbursement rules for patients: between a rock and a hard place. JAMA 2000; 283:1858-1865.
13. Grumet GW. Health care rationing through inconvenience: the third party's secret weapon. N Engl J Med 1989; 321:607-611.
14. Ogrod ES. Compensation and quality: a physician's view. Health Aff (Millwood) 1997; 16(3):82-86.
15. Light DW. The practice and ethics of risk-rated health insurance. JAMA 1992; 267:2503-2508.
16. Kenagy JW, Berwick DM, Shore MF. Service quality in health care. JAMA 1999; 281:661-665.
17. Mayer T, Cates RJ. Service excellence in health care. JAMA 1999; 282:1281-1283.
18. Kassirer J. Managed care and the morality of the marketplace. N Engl J Med 1995; 333:50-52.
19. Morreim EH. Revenue streams and clinical discretion. J Am Geriatr Soc 1998; 46(3):331-337.
20. In re: Humana, Inc., Managed Care Litigation. United States District Court for the Southern District of Florida; MDL File No.: 1334, Master File No.: 00-2334-MD-Moreno.
21. In re: Managed Care Litigation. United States District Court for the Southern District of Florida; MDL File No.: 1334, Master File No.: 00-2334-MD-Moreno.
22. Rotella v Wood, 120 S.Ct. 1075, 1079 (2000).
23. Pegram v Herdrich, 120 S.Ct. 2143 (2000).
24. Maio v Aetna, 221 F.3d 472 (3d Cir 2000).
25. Morreim EH. Holding health care accountable: law and the new medical marketplace. New York: Oxford University Press; 2001.
26. Wennberg JE. Understanding geographic variations in health care delivery. N Engl J Med 1999; 340:52-53.
27. Wennberg J. Which rate is right? N Engl J Med 1986; 314:310-311.
28. Wennberg JE. The paradox of appropriate care. JAMA 1987; 258:2568-2569.
29. Wennberg JE. Unwanted variations in the rule of practice. JAMA 1991; 265:1306-1307.
30. Burnum JF. Medical practice a la mode. How medical fashions determine medical care. N Engl J Med 1987; 317:1220-1222.
31. Hardison JE. To be complete. N Engl J Med 1979; 300:193.
32. Wong ET, Lincoln TL. Ready! Fire! . . . Aim! An inquiry into laboratory test ordering. JAMA 1983; 250:2510-2513.
33. Morreim EH. Playing doctor: corporate medical practice and medical malpractice. Mich J Law Reform 1999; 32(4):939-1040.
34. Newcomer LN. Physician, measure thyself. Health Aff (Millwood) 1998; 17(4):32-35.
35. Donohoe MT. Comparing generalist and specialty care: discrepancies, deficiencies, and excesses. Arch Intern Med 1998; 158:1596-1608.
36. Deedwania PC. Underutilization of evidence-based therapy in heart failure. An opportunity to deal a winning hand with ace up your sleeve. Arch Intern Med 1997; 157:2409-2412.
37. O'Connor GT, Quinto HB, Traven ND, et al. Geographic variation in the treatment of acute myocardial infarction. JAMA 1999; 281:627-633.
38. Evans RS, Pestotnik SL, Classen DC, et al. A computer-assisted management program for antibiotics and other antiinfective agents. N Engl J Med 1998; 338:232-238.
39. Balas EA, Weingarten S, Garb CT, et al. Improving preventive care by prompting physicians. Arch Intern Med 2000; 160:301-308.
40. Morris AH. Developing and implementing computerized protocols for standardization of clinical decisions. Ann Intern Med 2000; 132:373-383.
41. Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA 1998; 280:1311-1316.
42. Hunt DL, Haynes B, Hanna SE, Smith K. Effects of computer-based clinical decision support systems on physician performance and patient outcomes. JAMA 1998; 280:1339-1346.
43. Berk ML, Monheit AC. The concentration of health care expenditures, revisited. Health Aff (Millwood) 2001; 20(2):9-18.
44. Morreim EH. Saving lives, spending money: shepherding the role of technology. In: Wear S, Bono JJ, Logue G, McEvoy A, editors. Ethical issues in health care on the frontiers of the twenty-first century. Philosophy and medicine series. Dordrecht (The Netherlands): Kluwer Academic Publishers; 2000. pp. 65-112.
45. Bodenheimer T. California's beleaguered physician groups - will they survive? N Engl J Med 2000; 342:1064-1068.
46. Pretzer M. Will the big, bad antitrust wolf blow your IPA down? Med Economics 1997; 74(7):40-47.
47. Sanus/New York v Dube-Seybold-Sutherland, 837 S.W. 2d 191 (Tex.App. - Houston [1st Dist.] 1992).
48. Yacht AC. Collective bargaining is the right step. N Engl J Med 2000; 342:429-431.
49. Cohen JJ. White coats should not have union labels. N Engl J Med 2000; 342:431-434.
50. Preston SH. Doctor unions: time to join the parade? Med Economics 2000; 77(2):78-86.
51. NLRB v Kentucky River Community Care, Inc., 121 S.Ct. 1861 (2001).
52. Guglielmo WJ. The Texas law: on target, or firing blanks? Med Economics 1999; 76(16):36-42.
53. Guglielmo WJ. What the Texas-Aetna agreement really means. Med Economics 2000; 77(17):172-180.
54. Guglielmo WJ. Managed care reform? Sure - but don't look to Washington. Med Economics 2000; 77(16):40-57.
55. Pretzer M. Collective bargaining for doctors: don't count on a green light from Washington. Med Economics 1999; 76(16):45-51.
56. Preston SH. Don't sign a sucker deal. Med Economics 2000; 77(11):191-198.
57. Askanas A. Managed care contracting for physicians. J Fam Pract 1996; 43(2):133-138.
58. Gibbs SA. Dealing with deal-killers in managed care contracts. Managed Care 1996; 5(7):37-43.
59. Slomski AJ. Getting the most out of your PPO contract. Med Economics 1996; 73(7):140-148.
60. Lowes R. When to ditch a contract. Med Economics 1999; 76(15):201-208.
61. Terry K. What can a contracting organization really do for you? Med Economics 1999; 76(17):75-88.
62. Hall MA, Berenson RA. Ethical practice in managed care: a dose of realism. Ann Intern Med 1998; 128:395-402.
63. Pearson SD, Sabin JE, Emanuel EJ. Ethical guidelines for physician compensation based on capitation. N Engl J Med 1998; 339:689-693.