TY - JOUR
T1 - Ethics in managed care
AU - Lazarus, Jeremy A.
AU - Sharfstein, Steven S.
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2000
Y1 - 2000
N2 - 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 honest are complicated by interference in the doctor-patient relationship caused by instructive 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 site of traditional medical ethical positions. Once the ethics become diseased, no cure may exist at all.
AB - 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 honest are complicated by interference in the doctor-patient relationship caused by instructive 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 site of traditional medical ethical positions. Once the ethics become diseased, no cure may exist at all.
UR - http://www.scopus.com/inward/record.url?scp=0033933942&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033933942&partnerID=8YFLogxK
U2 - 10.1016/S0193-953X(05)70158-1
DO - 10.1016/S0193-953X(05)70158-1
M3 - Article
C2 - 10909107
AN - SCOPUS:0033933942
VL - 23
SP - 269
EP - 284
JO - Psychiatric Clinics of North America
JF - Psychiatric Clinics of North America
SN - 0193-953X
IS - 2
ER -