+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Ethical issues in managed care: can the traditional physician-patient relationship be preserved in the era of managed care or should it be replaced by a group ethic?



Ethical issues in managed care: can the traditional physician-patient relationship be preserved in the era of managed care or should it be replaced by a group ethic?



University of Michigan Journal of Law Reform. University of Michigan. Law School 32(4): 619-659



Over the last decade managed care has become the dominant form of health care delivery, because it has reduced the cost of health care; however, it has also created serious conflicts of interest for physicians and has threatened the integrity of the traditional physician-patient relationship. In this Article, Dr. Grochowski argues that the efficiencies created by managed care are one time savings and will not in the long run reduce the rate of rise of health care expenditures without a concomitant plan to ration health care. He explores the traditional physician-patient relationship and concludes: a) that while rationing of health care is inevitable, physicians must not ration care at the bedside; b) that physicians must be advocates for their patients; c) that physicians must avoid conflicts of interest whenever possible; d) that physicians must put the needs of the patient before their own self-interests; and e) that physicians must act in ways to promote trust in their relationship with patients.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 045997108

Download citation: RISBibTeXText

PMID: 12171098


Related references

Ethical issues in managed care. A report of the University of Virginia Study Group on managed care. Virginia Medical Quarterly 122(3): 162-167, 1995

Ethical Tensions In The Physician-Patient Relationship Within Managed Care. Ophthalmology Clinics of North America 13(1): 51-61, 2000

Effects of managed care on physician-patient relationships, quality of care, and the ethical practice of medicine: a physician survey. Archives of Internal Medicine 158(15): 1626-1632, 1998

Managed competition and managed care. What are the ethical issues?. Clinics in Geriatric Medicine 10(3): 527-540, 1994

Ethics, the physician-patient relationship and managed care What do primary care physicians think?. Jgim 12(Suppl 1): 102, 1997

Business demands vs. patient needs: ethical issues challenged by managed care. Hawaii Dental Journal 29(2): 8, 14, 2002

Managed care, managed dollars, managed providers: ethical dilemmas in mental healthcare. Hec Forum 14(2): 99-118, 2002

The physician ethic and managed care: reformation parallels. Pharos of Alpha Omega Alpha-Honor Medical Society. Alpha Omega Alpha 59(1): 27-28, 1996

Patient and physician satisfaction with a pharmacist-managed anticoagulation clinic: implications for managed care organizations. Managed Care 9(2): 47-50, 2000

Insurance and managed care: an ethical analysis of issues related to the patient and provider. Plastic Surgical Nursing 20(3): 191-194, 2002

Does managed care need to be replaced? "Father" of managed care unveils new plan. Physician Executive 28(1): 26-31, 2002

Managed care and the physician/patient relationship. Orthopedics 27(4): 360-361, 2004

Managed care disrupts the patient-physician relationship. Missouri Medicine 92(6): 270-271, 1995

Managed care and the geriatric patient-physician relationship. Clinics in Geriatric Medicine 16(1): 133-51, X-Xi, 2000

Preserving the physician-patient relationship in the era of managed care. JAMA 273(4): 323-329, 1995