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Autonomy and automatons: managed care in the USA

Published online by Cambridge University Press:  02 January 2018

Kwame McKenzie
Kwame McKenzie*
Affiliation:
Department of Social Medicine, Harvard Medical School Boston, MA 02115, kwamemck@warren.med.harvard.edu
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Managed care is a phrase on the lips of every US psychiatrist. Some believe that this revolution in health care has brought US doctors kicking and screaming into the age of ‘cost-effective’, ‘evidence-based medicine’ (Mechanic, 1997). But most psychiatrists I interviewed from Boston, San Francisco and New York, thought it had transformed them from autonomous professionals to automatons.

Type
Briefings
Information
Psychiatric Bulletin , Volume 22 , Issue 12 , December 1998 , pp. 765 - 768
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

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