Ethics in managed care

Jeremy A. Lazarus, Steven S. Sharfstein

Research output: Contribution to journalArticle


The current era of managed costs and care create ethical dilemmas based on economic constraints and incorporation of principles of distributive justice. Traditional ethical concerns related to confidentiality, conflicts of interest, double agentry, and honesty are complicated by interference in the doctor-patient relationship caused by intrusive utilization management. National health reform must take these issues seriously to ensure that the cure promised by such reform efforts is not worse than the disease. The challenge for psychiatrists is to adapt to these constraints without losing sight of traditional ethical medical positions. If the ethics become diseased, then no cure may exist at all.

Original languageEnglish (US)
Pages (from-to)561-574
Number of pages14
JournalPsychiatric Clinics of North America
Issue number3
Publication statusPublished - Sep 2002
Externally publishedYes


ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Lazarus, J. A., & Sharfstein, S. S. (2002). Ethics in managed care. Psychiatric Clinics of North America, 25(3), 561-574.