Document Detail


The ethics of managed care financial incentives to limit care. Some thoughts for specialists.
MedLine Citation:
PMID:  10063460     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article supplies an introduction to the structure and purpose of managed care financial incentives, with particular attention to those affecting referrals to specialists. It then addresses some of the ethical problems attending such incentive schemes and discusses the characteristics that make some financial incentives preferable to others. An agenda for specialists such as plastic surgeons who are often on the "receiving end" of incentive schemes designed to limit the use of specialty care is outlined. This proposed agenda encourages specialists to participate actively in shaping incentive schemes in ways that help keep health care costs down without sacrificing patients' interests in obtaining necessary specialty care.
Authors:
S R Latham
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinics in plastic surgery     Volume:  26     ISSN:  0094-1298     ISO Abbreviation:  Clin Plast Surg     Publication Date:  1999 Jan 
Date Detail:
Created Date:  1999-06-02     Completed Date:  1999-06-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0424767     Medline TA:  Clin Plast Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  115-21, viii-ix     Citation Subset:  E; IM    
Affiliation:
Northwestern University Law School, Chicago, IL, USA.
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MeSH Terms
Descriptor/Qualifier:
Cost Control
Ethics, Medical*
Health Care Rationing / economics*
Humans
Managed Care Programs / economics,  standards*
Physician Incentive Plans / economics*
Referral and Consultation
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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