Capitation and the 'bedside' - the physician's role

Article Abstract:

Physicians are facing a crisis in managing their obligations to their patients with the demands imposed by managed care systems under capitation in the US. Physicians are being confronted with the responsibility, under capitation, for deciding who gets care and who does not. The impact of this responsibility is causing some discomfort for physicians, and is forcing the search for an answer to the dilemma posed by capitation. One partial answer to this issue may be seen in the nationalized medical care program being used in Canada.

HEALTH SERVICES, Direct Health and Medical Insurance Carriers, Health Plan Administration, Analysis, Managed care plans (Medical care), Health insurance industry, Capitated payment systems (Medical care)

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For physicians, presidents and others, private is public

Article Abstract:

The private actions, committments and decisions of physicians, politicians and other notable figures are becoming increasingly public. While physicians might not have the same exposure to the public as presidents and famous clergy, physicians are nonetheless public figures to their patients. In this respect, physicians must avoid conflicts that would damage the public trust.

Public relations

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Doctors are forming partnerships with their patients

Article Abstract:

The physician-patient relationship is gradually becoming more of a partnership. As the accessibility of medical information increases via mass media, patients are more likely than before to question their doctors' decisions, which can lead to delay of care. However, patients who are more informed about their care are more likely to become more conscientious participants.

Management, Services, Health care industry, Physician and patient, Physician-patient relations

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