Centre for Policy on Ageing



Conflicts of interest and accountability in managed care — the aging of medical ethics
Author(s)	Marc A Rodwin
Journal title	Journal of the American Geriatrics Society, vol 46, no 3, March 1998
Pages	pp 338-341
Keywords	Health services ; Commercial care ; Social ethics ; United States of America.
Annotation	Managed health care is posing new conflicts of interest and accountability issues for physicians in the US. These problems arise largely as a result of society's response to conflicts of interest that existed in fee-for-service practice combined with indemnity insurance - what the author calls `unmanaged care'. The move to managed care (reduced autonomy and financial incentives to be frugal) represents attempts to promote accountability of physicians and other providers. The article distinguishes between three phases or types of responsibility for medical care: personal, professional group, and organisational. Although organisational responsibility has become a prime influence with managed care organisations (MCOs) controlling funds, personal responsibility and traditional medical ethics can still play an important role in promoting organisational accountability. (RH).
Accession Number	CPA-980821008 A
Classmark	L: PI: TQ: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.