Centre for Policy on Ageing
 

 

Mediation and managed care
Author(s)Nancy Neveloff Dubler
Journal titleJournal of the American Geriatrics Society, vol 46, no 3, March 1998
Pagespp 359-364
KeywordsHealth services ; Commercial care ; Rights [elderly] ; Advocacy ; Social ethics ; United States of America.
AnnotationManaged care in the US has not only intensified existing conflicts between patient and provider, it has, by its very nature, changed the shape and scope of the healthcare enterprise and introduced an entirely set of disputes. This article argues that, because of its cost containment origins and orientation, managed care increases the likelihood that misunderstandings, disagreements and disputes will develop into full-blown conflicts. If managed care is to succeed financially and operate with integrity, it must develop techniques for managing the increasing conflicts that inevitably arise between and among organisations, physicians and patients. The patient's voice needs to be strengthened within the new complex decision-making, review, and appeals procedures. Mediation is the most appropriate method of dispute resolution, as it balances the disparities of power, and refocuses the interests of various parties. Using bioethics consultation as a model for dispute mediation provides a set of principles and guideline tasks that can be applied effectively to managed care. The aim for all parties should focus on the common goal of ensuring quality health care. (RH).
Accession NumberCPA-980821011 A
ClassmarkL: PI: IKR: IQ: TQ: 7T

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