Attitudes of US neurologists concerning the ethical dimensions of managed care.
Annual meeting of the American Academy of Neurology. San Francisco CA (USA), 1996/03.
Article abstract We surveyed attitudes of US neurologists about the ethical dimensions of managed care by administering a written instrument containing paradigmatic cases portraying conflicts of physicians, patients, and managed care organizations (MCOs).
After each case, we assessed neurologists'attitudes by asking them their degree of agreement with a series of statements.
We found that neurologists (1) generally were willing to follow clinical practice guidelines if they were created by medical societies ; (2) experienced frequent conflicts of interest or conflicts of obligation in the care of their MCO patients ; (3) feared legal ramifications of their clinical decisions on MCO patients ; (4) were unwilling to employ deception or gaming to achieve what they perceived to be good patient care ; (5) believed that their professional prerogatives and autonomy were under attack by MCOs ; and (6) felt that the good of their patients should not be sacrificed for the good of society.
Mots-clés Pascal : Médecin, Neurologie, Attitude morale, Décision, Soin intégré, Organisation, Plan traitement, Etats Unis, Amérique du Nord, Amérique, Ethique, Agent santé, Homme
Mots-clés Pascal anglais : Physician, Neurology, Moral attitude, Decision, Managed care, Organization, Treatment planning, United States, North America, America, Ethics, Health worker, Human
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0397624
Code Inist : 002B30A05. Création : 12/09/1997.