Managed Care Ethics: Essays on the Impact of Managed Care on Traditional Medical Ethics

Author: John La Puma, MD

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Managed Care Ethics: Essays on the Impact of Managed Care on Traditional Medical Ethics

Medical ethical dilemmas in managed care look, sound, and feel different from those in fee-for-service medicine. The first book to address the new set of ethical problems facing managed care, Managed Care Ethics is written for physicians practicing in HMOs and others adjusting to the new health care environment. John La Puma, a physician and ethicist who practices in the managed care environment, provides the context for constructive discussions between physicians and their patients.

214 Pages © 1998

Table of Contents

Part 1

Chapter 1
The Rise of Patient Autonomy

Chapter 2
The Dawning of the Age of Accountability

Chapter 3
Accountability in Managed Care: What Should We Expect from Patients?

Chapter 4
When It’s Hard to Be Sure of the Patient’s Own Goals

Chapter 5
Why Ethics Defines Quality—And Goals Define Ethics

Chapter 6
Managed Care Needs the Credibility of Professional Moral Standards

Chapter 7
Integrity in Managed Care

Chapter 8
Ethical Issues in Outpatient Managed Care

Chapter 9
Anticipating Managed Care’s Effect on Culturally Diverse Populations

Chapter 10
Medicare in Managed Care: Seeing Patients as “Losses”

Chapter 11
Informed Consent: Should Capitation’s Financial Incentives Be a Part?

Chapter 12
Bound or Gagged? Privacy, Confidentiality and Computerized Patient Records

Chapter 13
Confidentiality Again: Drug Plans Need an Ethics Infusion STAT

Part 2

Chapter 14
The Principle of Beneficence in Managed Care

Chapter 15
Should Doctors Guarantee Results? Or, Whose Disease Is It, Anyway?

Chapter 16
Medicine by Legislation: Can Physicians Learn Techniques That Patients and HMO’s Already Know?

Chapter 17
Alternative Medical Treatments Raise Some Ethical Questions

Chapter 18
Pharmacists and Physicians: Perils, Potential and Parallels

Chapter 19
What You Should Know About the Role of Hospitalists

Chapter 20
What Are the Utilization Rules for Providing Marginal Treatment?

Chapter 21
Needed: Clear Standards for Defining Futile Care

Chapter 22
Assisted and Managed Care: Whose Right to Die?

Chapter 23
Physician-Assisted Suicide and Managed Care: A Match Made in Hell

Chapter 24
Advance Directives in Managed Care: Inspired by Love or Money?

Chapter 25
High-Tech Home Care

Part 3

Chapter 26
Respect and Communication Skills

Chapter 27
Does the Doctor-Patient Relationship Mean More to Doctors than to Patients?

Chapter 28
How Much Should Doctors, Patients and Plans Care about Each Other?

Chapter 29
Managed Care “Menage a` Trois”: Doctor, Patient and Payer

Chapter 30
How and How Much Should Physicians Be Paid?

Chapter 31
Risk Management: Does Doing the Right Business Thing Decrease the Risk of Being Sued?

Chapter 32
Understanding and Protecting Medical Ethics Can Reduce Your Liability Risk

Part 4

Chapter 33
The Principle of Fairness

Chapter 34
Smoking, Slimming and Seat Belts: Is Public Health and Preventive Medicine a Responsibility of Managed Care?

Chapter 35
Ethics Catches Up to Law: What Is Most Fair for All?

Chapter 36
Mickey Mantle’s Liver Transplant: Is Organ Allocation Fair?

Chapter 37
Satisfying Managed Care Patients Through Ethics Consultation

Chapter 38
What to Expect from Your Hospital’s Ethics Program

Non Member Price: $20.00

Member Price: $15.00 - You Save $5.00