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.

Editorial, Ethical aspects, Managed care plans (Medical care)

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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.

Practice, Physicians, Medical professions

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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.

Care and treatment, Dementia, Patients, Patient care, Right to refuse treatment, Treatment refusal

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