{"title":"管理医疗的伦理:对医疗集团实践的临床和行政影响。","authors":"D J Philip","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>This professional paper reviews several current ethical dilemmas: situations that may compromise the patient's dignity; a social thrust towards \"universal\" care that has left providers in a no-man's land of \"to treat or not to treat\" decisions; financial models which reduce available services, or that directly incentivize practices to withhold care. Behind each of these issues are values that managers [and physicians] must consider if they are to protect and improve the quality of health care.</p>","PeriodicalId":79579,"journal":{"name":"College review (Denver, Colo.)","volume":"14 1","pages":"61-80"},"PeriodicalIF":0.0000,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Ethics of managed care: clinical and administrative implications for medical group practices.\",\"authors\":\"D J Philip\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This professional paper reviews several current ethical dilemmas: situations that may compromise the patient's dignity; a social thrust towards \\\"universal\\\" care that has left providers in a no-man's land of \\\"to treat or not to treat\\\" decisions; financial models which reduce available services, or that directly incentivize practices to withhold care. Behind each of these issues are values that managers [and physicians] must consider if they are to protect and improve the quality of health care.</p>\",\"PeriodicalId\":79579,\"journal\":{\"name\":\"College review (Denver, Colo.)\",\"volume\":\"14 1\",\"pages\":\"61-80\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1997-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"College review (Denver, Colo.)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"College review (Denver, Colo.)","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Ethics of managed care: clinical and administrative implications for medical group practices.
This professional paper reviews several current ethical dilemmas: situations that may compromise the patient's dignity; a social thrust towards "universal" care that has left providers in a no-man's land of "to treat or not to treat" decisions; financial models which reduce available services, or that directly incentivize practices to withhold care. Behind each of these issues are values that managers [and physicians] must consider if they are to protect and improve the quality of health care.