书目名称 | The Ethics of Managed Care: Professional Integrity and Patient Rights |
编辑 | William B. Bondeson (Curators’Distinguished Teachi |
视频video | |
概述 | Includes supplementary material: |
图书封面 |  |
描述 | in the culture of medicine, and they saw their mission as a generation of profit for stockholders, not necessarily medical care for clients. Cost-effective medicine was the goal in the context of a profit-making enterprise. Although preventive health care programs were promised, very few were realized and they were not nearly comprehensive. The definition of unnecessary testing slowly expanded to mean virtually any high-cost test requiring the service of a medical specialist, and low priced generalist physicians with limited diagnostic and therapeutic skills were made available to patients with the instruction they should limit their access to high-cost specialists. Managed care organizations tended to re ward primary care physicians who avoided specialty referrals, and severed contracts with those who persisted in sending their patients to outside consultants. Most notoriously, managed care organizations maintained veto authority over the provision of complex and expensive care, and that veto was often wielded in defiance of a physician‘s recommendation by managed care employees without medical training or experience. Managed care did indeed slow the rate in increase of medical c |
出版日期 | Book 20021st edition |
关键词 | Ethical Dilemma; ethics; health; issue; knowledge; morality |
版次 | 1 |
doi | https://doi.org/10.1007/978-94-017-0413-7 |
isbn_softcover | 978-90-481-6185-0 |
isbn_ebook | 978-94-017-0413-7 |
copyright | Springer Science+Business Media B.V. 2002 |