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A Deliberative Model of Corporate Medical Management

Published online by Cambridge University Press:  01 January 2021

Extract

Managed care is evolving in ways that pose unique ethical challenges to those interested in the intersection of clinical and organizational ethics. For example, Disease Management (DM) is a form of managed care that has emerged in response to chronic illness. DM is a healthcare management tool that coordinates resources across an entire health care delivery system and throughout the life cycle of chronic disease. Health Maintenance Organizations have reduced some costs in the delivery of acute care, but real cost savings will result only with greater efficiencies in the delivery of costly chronic care. DM is a systematic, population-based approach that identifies persons at risk of chronic ailment, intervenes with specific programs of care, measures clinical and other outcomes, and provides continuous quality improvement. Characterized as a movement to patient-driven services, DM involves a complex web of provider relations.

Type
Article
Copyright
Copyright © American Society of Law, Medicine and Ethics 2000

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References

Goodpastor, K., “Business Ethics,” in Becker, L.C., ed., Encyclopedia of Ethics (New York, NY: Garland Publishing, 1993): at 58.Google Scholar
Horvath, C.M., “Macro and Micro: The Emerging Field of Organizational Ethics,” Online Journal of Ethics 1, no. 3 (1997): at 3–17.Google Scholar
DeGeorge, R.T., The Nature and Limits of Authority (Lawrence, Kansas: University Press of Kansas, 1985); Simon, Y.R., A General Theory of Authority (Notre Dame: University of Notre Dame Press, 1980); and Raz J., “Authority and Justification” Philosophy and Public Affairs, 14, no.1 (1985): 7–25.Google Scholar
Friedman, R.B., “On the Concept of Authority in Political Philosophy,” in Flathman, R.E. (ed.), Concepts in Social and Political Philosophy (New York: Macmillan, 1973): 328.Google Scholar
See De George, supra note 3, at 34–42.Google Scholar
De George, , id. at 41.Google Scholar
DeGeorge, R.T., Business Ethics (New Jersey: Prentice Hall, 1995): at 455.Google Scholar
Barber, B., “Some Problems in the Sociology of the Professions,” Daedalus, Fall 1963, 669–688.Google Scholar
Todd, W.E. and Nash, D.B., eds., Disease Management: A Systems Approach to Improving Patient Outcomes (American Hospital Association Press, 1998): at 9.CrossRefGoogle Scholar
Hampson, J.P. Roberts, R.I. and Morgan, D.A., “Shared Care: A Review of the Literature,” Family Practice, 13 (1996): 264279.CrossRefGoogle Scholar
Daniels, N., “Last Chance Therapies and Managed Care,” Hastings Center Report 28, no. 2 (1998): 2741.CrossRefGoogle Scholar
See De George, supra note 3.Google Scholar
Meaney, M.E., “Authority Relations in Corporate Medical Management: Toward an Organizational Ethic of Managed Care,” HEC Forum 11, no. 4 (1999): 333344.Google Scholar
Daniels, N., “Justice, Fair Procedures, and the Goals of Medicine,” Hastings Center Report 26, no. 6. (1996): 1012.Google Scholar
See Daniels, supra note 10.Google Scholar
Moore, C., The Mediation Process: Practical Strategies for Resolving Conflict (Jossey-Bass Publishers, 1996); and Bennett, M.B. and Sherman, M.S. G., The Art of Mediation (National Institute for Trial Advocacy, 1997): at 14.Google Scholar
Beer, J.E. and Stief, E., The Mediator's Handbook (New Society Publishers, 1997): at 24.Google Scholar
See Daniels, supra note 10.Google Scholar