Obstetrics and gynecology has been transformed from a fee-for-service, unmanaged system to a prepaid managed system.
This change poses significant ethical challenges, which we address.
We show that obstetrician-gynecologists and medical institutions are moral co-fiduciaries of female and pregnant patients, that the obstetrician-gynecologist should be economically disciplined without capitulating to managed care, and that managed care organizations have an obligation to support the medical education and research from which they benefit.
Mots-clés Pascal : Ethique, Pratique professionnelle, Obstétrique, Gynécologie, Médecin, Article synthèse, Homme, Femelle, Personnel sanitaire
Mots-clés Pascal anglais : Ethics, Professional practice, Obstetrics, Gynecology, Physician, Review, Human, Female, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0129423
Code Inist : 002B30A05. Création : 16/11/1999.