Managed care, managing ethics
Article Abstract:
The rise of managed care has caused an explosion of interest in medical ethics. This has occurred primarily because the managed care organization has inserted itself into the physician-patient relationship. There is often a conflict of interest among the various participants in the new relationship. Physicians also have new responsibilities and must also consider the needs of society in general. This automatically creates a need for new ethical standards.
Publication Name: Journal of the American Geriatrics Society
Subject: Seniors
ISSN: 0002-8614
Year: 1998
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Revenue streams and clinical discretion
Article Abstract:
Several methods are discussed to enhance medical care under a managed care environment. Many managed care organizations try to cut costs by asking their physicians to follow clinical practice guidelines. However, these guidelines are often based on minimal scientific evidence, which requires the physician to rely on clinical discretion. On the other hand, physicians' revenue depends on the clinical decisions they make.
Publication Name: Journal of the American Geriatrics Society
Subject: Seniors
ISSN: 0002-8614
Year: 1998
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Competency and consent in dementia
Article Abstract:
Two approaches to dealing with the treatment decisions of a patient with dementia are reviewed. One approach considers what the patient whould have chosen while in a competent state. The other approach considers the best interests of the patent at the time treatment is considered. Surveys of practices are examined alongside ethical and legal decisions.
Publication Name: Journal of the American Geriatrics Society
Subject: Seniors
ISSN: 0002-8614
Year: 1998
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