|
|
Anticipated Changes in the Doctor-Patient Relationship in the Managed Care and Managed Competition of the Health Security Act of 1993
John La Puma, MD
Arch Fam Med. 1994;3(8):665-671.
References Article references have been provided for searching and linking. Additional reference information may be available in the article PDF.
1. Cassell EJ. Therapeutic relationship: contemporary medical perspective. In: Reich WT, ed. The Encyclopedia of Bioethics. New York, NY: Free Press; 1978:1676.
2. Hemenway D, Killen A, Cashman SB, Parks CL, Bicknell WJ. Physicians' responses to financial incentives: evidence from a for-profit ambulatory care center. N Engl J Med. 1990;322:1059-1063.
PUBMED
3. Pellegrino ED. Rationing health care: the ethics of medical gatekeeping. J Contemp Health Law Policy. 1986;2:23-45.
PUBMED
4. Emanuel EJ, Brett AS. Managed competition and the patient-physician relationship. N Engl J Med. 1993;329:879-882.
PUBMED
5. Siegler M. The physician-patient accommodation: a central event in clinical medicine. Arch Intern Med. 1982;142:1899-1902.
FREE FULL TEXT
6. May WF. The Physician's Covenant. Philadelphia, Pa: Westminster Press; 1983. 7. Fletcher RH, Fletcher SW. What is the future of internal medicine? Ann Intern Med. 1993;119:1144-1145.
FREE FULL TEXT
8. Kravits RL, Cope DW, Bhrany V, Leake B. Internal medicine patients' expectations for care during office visits. J Gen Intern Med. 1994;9:75-81.
PUBMED
9. Jonsen AR. The New Medicine and the Old Ethics. Cambridge, Mass: Harvard University Press; 1990. 10. Ellwood PM, Anderson NN, Billings JE, Carlson RJ, Hoagber EJ, McClure W. Health manitenance strategy. Med Care. 1971;9:291-298.
PUBMED
11. Welch WP, Hillman AL, Pauly MV. Toward new typologies for HMOs. Milbank Q. 1990;68:221-243.
PUBMED
12. Clinton B. The Clinton Health Care Plan. N Engl J Med. 1992;327:804-807.
PUBMED
13. Iglehart JK. Managed competition. N Engl J Med. 1993;328:1208-1212.
PUBMED
14. Angell M. The beginning of health care reform: the Clinton health plan. N Engl J Med. 1993;329:1569-1570.
PUBMED
15. Rees MK. Managed care or mangled care? N Engl J Med. 1993;328:890-891.
PUBMED
16. Rubin HR, Gandek B, Rogers WH, Kosinski M, McHorney CA, Ware JE. Patients' ratings of outpatient visits in different practice settings: results from the medical outcomes study. JAMA. 1993;270:835-840.
FREE FULL TEXT
17. Mayer TR, Mayer GG. HMOs: origins and development. N Engl J Med. 1985;312:590-594.
PUBMED
18. Iglehart JK. The American health care system: managed care. N Engl J Med. 1992;327:742-747.
PUBMED
19. Starr P. The Logic of Health Care Reform. Knox-ville, Tenn: Grand Rounds Press; 1993. 20. Relman AS. Medical practice under the Clinton reforms: avoiding domination by business. N Engl J Med. 1993;329:1574-1576.
PUBMED
21. White House Domestic Policy Council. The President's Health Security Plan. New York, NY: Times Books; 1993. 22. Katz J. The Silent World of Doctor and Patient. New York, NY: Free Press; 1984. 23. Danis M, Churchill LR. Autonomy and the common weal. Hastings Cent Rep. 1991;21(1):25-31.
PUBMED
24. Wolford GR, Brown M, McCool BP. Getting to go in managed care. Health Care Manage Rev. 1993;18:7-19.
PUBMED
25. Morreim EH. Gaming the system: dodging the rules, ruling the dodger. Arch Intern Med. 1991;151:444-448.
26. Woolf SH. Practice guidelines, a new reality in medicine: methods of developing guidelines. Arch Intern Med. 1991;152:946-952.
27. Angell M. The beginning of health care reform: the Clinton Plan. N Engl J Med. 1993;329:1569-1570.
PUBMED
28. Brennan TA. Medical Ethics in the Liberal State. Berkeley, Calif: The University of California Press; 1992. 29. La Puma J, Schiedermayer DL. Ethics Consultation: A Practical Guide. Boston, Mass: Jones & Bartlett Publishing Inc; 1994:190. 30. Menzel PT. Double agency and the ethics of rationing health care: a response to Marcia Angell. Kennedy Inst Ethics J. 1993;3:287-292.
PUBMED
31. Eddy DM. Broadening the responsibilities of practitioners: the team approach. JAMA. 1993;269:1849-1855.
FREE FULL TEXT
32. Enthoven AC. The history and principles of man-aged competition. Health Aff (Millwood). 1993;10(suppl):24-48.
33. Caper P. Managed competition that works. JAMA. 1993;269:2524-2526.
FREE FULL TEXT
34. Reinhardt UE. Reforming the health care system: the universal dilemma. Am J Law Med. 1993;19:21-36.
PUBMED
35. Winslow C, Solomon D, Chassin M, et al. The appropriateness of carotid endarterectomy, N Engl J Med. 1988;318:721-727.
PUBMED
36. Epstein AM. Changes in the delivery of care under comprehensive health care reform. N Engl J Med. 1993;329:1672-1677.
PUBMED
37. Redelmeier DA, Tversky A. Discrepancy between medical decisions for individual patients and for groups. N Engl J Med. 1990;322:1162-1164.
PUBMED
38. Morreim EH. Conflicts of interest: profits and problems in physician referrals. JAMA. 1989;262:390-394.
FREE FULL TEXT
39. Pellegrino ED. The metamorphosis of medical ethics: a 30-year retrospective. JAMA. 1993;269:1158-1162.
FREE FULL TEXT
40. Appelbaum PS, Lidz CW, Meisel A. Informed Consent: Legal Theory and Clinical Practice. New York, NY: Oxford University Press; 1987. 41. Beauchamp TL, Childress JF. Principles of Bio-medical Ethics. 3rd ed. New York, NY: Oxford University Press; 1990. 42. Enthoven A, Kronick R. A consumer-choice health plan for the 1990s: universal health insurance in a system designed to promote quality and economy. N Engl J Med. 1989;320:29-37, 94-101.
PUBMED
43. Brennan TA. An ethical perspective on health care insurance reform. Am J Law Med. 1993;19:37-74.
PUBMED
44. Hornbrook MC, Goodman MJ. Managed care: penalties, autonomy, risk, and integration. In: Hibbard H, Nutting PA, Grady ML, eds. Primary Care Research: Theory and Methods. Washington, DC: US Dept of Health and Human Services; 1991:107-126. Publication AH-CPR 91-34. 45. Menzel PT. Some ethical costs of rationing. Law Med Health Care. 1992;20:57-66.
PUBMED
46. Winslow GR. Triage and Justice. Berkeley, Calif: University of California Press; 1982. 47. Levinson DF. Toward full disclosure of referral restrictions and financial incentives by prepaid health plans. N Engl J Med. 1987;317:1729-1731.
PUBMED
48. Grumet GW. Health care rationing through inconvenience: the third party's secret weapon. N Engl J Med. 1989;321:607-611.
PUBMED
49. Fleck L. Justice, HMOs, and the invisible rationing of health care resources. Bioethics. 1990;4:100-104.
PUBMED
50. Gostin LO. Foreword: health care reform in the United States^the Presidential task force. Am J Law Med. 1993;19:1-20.
PUBMED
51. Schiedermayer DL, La Puma J, Miles SH. Ethics consultation masking economic dilemmas in patient care. Arch Intern Med. 1989;149:1303-1305.
FREE FULL TEXT
52. Pellegrino ED, Thomasma DC. For the Patient's Good. New York, NY: Oxford University Press; 1990. 53. Schroeder JL, Clarke JT, Webster JR Jr. Prepaid entitlements: a new challenge for physician-patient relationships. JAMA. 1985;254:3080-3082.
FREE FULL TEXT
54. Callahan D. When self-determination runs amok. Hastings Cent Rep. 1992;22:52-55.
PUBMED
55. Raffin TA. Perspectives on clinical medical ethics. In: Hall JB, Schmidt GA, Wood LDH, eds. Principles of Critical Care. New York, NY: McGraw-Hill; 1992:2185-2204. 56. Paris JJ, Schreiber MD, Statter M, Arensman R, Siegler M. Beyond autonomy: physicians refusal to use life-prolonging extracorporeal membrane oxygenation. N Engl J Med. 1993;329:354-357.
PUBMED
57. Bone RC. Honoring patient preferences and rationing intensive care: are these compatible goals? Arch Intern Med. 1991;151:1061-1063.
FREE FULL TEXT
58. Blendon RJ, Donelan K. The public's view of the emerging debate over national health insurance. N Engl J Med. 1990;323:208-212.
PUBMED
59. Cleary PD, McNeil BJ. Patient satisfaction as an indicator of quality care. Inquiry. 1988;25:25-36.
PUBMED
60. Woolf SH. Practice guidelines: a new reality in medicine. Arch Intern Med. 1991;152:946-952.
61. La Puma J, Schiedermayer DL. Ethical issues in managed care and managed competition: problems and promises. In: Nash DB, ed. The Physician's Guide to Managed Care. Gaithersburg, Md: Aspen Publishing; 1994:31-60. 62. Hillman AL. Managing the physician: rules versus incentives. Health Aff (Millwood). 1991;1:138-146.
63. Morreim EH. Rationing and the law. In: Strosberg MA, Wiener JM, Barker R, Fein IA, eds. Rationing America's Medical Care: The Oregon Plan and Beyond. Washington, DC: Brookings Institution; 1992:159-184. 64. Morreim EH. Cost containment: issues of moral conflict and justice for physicians. Theor Med. 1985;6:257-279.
PUBMED
65. Siegler M. The progression of medicine: from physicians' paternalism to patient autonomy to bureaucratic parsimony. Ann Intern Med. 1985;145:713-715.
66. Mechanic D. The growth of HMOs: issues of enrollment and disenrollment. Med Care. 1983;21:338-347.
PUBMED
67. Relman AS. Assessment and accountability. N Engl J Med. 1988;319:1220-1222.
PUBMED
68. Priester R. A values framework for health system reform. Health Aff (Millwood). 1992;11:84-107.
FREE FULL TEXT
69. Starr P. A framework for health care reform. N Engl J Med. 1993;329:1666-1672.
PUBMED
70. Kronick R, Goodman DC, Wennberg J, Wagner E. The marketplace at health care reform: the demographic limitations of managed competition. N Engl J Med. 1993;328:148-152.
PUBMED
71. La Puma J, Lawlor EF. Quality adjusted life years: ethical implications for clinicians and policymakers. JAMA. 1990;263:2917-2921.
FREE FULL TEXT
72. Lipscomb J. Time preference for health in cost-effectiveness analysis. Med Care. 1989;27(suppl):S233-S248.
PUBMED
73. Mendeloff J. Measuring elusive benefits: on the value of health. J Health Polit Policy Law. 1983;8:554-580.
FREE FULL TEXT
74. Danis M, Patrick DL, Southerland LI, et al. Patients' and families' preferences for medical intensive care. JAMA. 1988;260:797-802.
FREE FULL TEXT
75. Piliskin JS, Shepard DS, Weinstein MC. Utility functions for life years and health status. Operations Res. 1980;28:206-224.
FREE FULL TEXT
76. Caralis PV, Davis B, Wright K, Marcial E. The influence of ethnicity and race on attitudes toward advance directives, life-prolonging treatments and euthanasia. J Clin Ethics. 1993;4:155-165.
PUBMED
77. Povar G, Moreno J. Hippocrates and the health maintenance organization: a discussion of the ethical issues. Ann Intern Med. 1988;109:419-424.
FREE FULL TEXT
78. DeGeorge RT. Business Ethics. 3rd ed. New York, NY: Macmillan Publishing Co Inc; 1990. 79. Morreim EH. Balancing Act: The New Medical Ethics of the New Medicine's Economics. Boston, Mass: Kluwer Academic Publishers; 1991. 80. Rice T, Brown ER, Wyn R. Holes in the Jackson Hole approach to health care reform. JAMA. 1993;270:1357-1362.
FREE FULL TEXT
81. Kassirer JP. The quality of care and the quality of measuring it. N Engl J Med. 1993;329:1263-1265.
PUBMED
82. Miles SH. Informed demand for 'non-beneficial' medical treatment. N Engl J Med. 1992;325:512-515.
83. Scovern H. A physician's experience in a forprofit staff-model HMO. N Engl J Med. 1988;319:787-790.
PUBMED
84. Hsiao WC, Dunn DL, Verrilli DK. Assessing the implementation of physician-payment reform. N Engl J Med. 1993;328:928-933.
PUBMED
85. Orr RD, Moon E. Effectiveness of an ethics consultation service. J Fam Pract. 1993;36:49-53.
PUBMED
86. La Puma J. Current models for reimbursement of clinical ethics consultation. Arch Fam Med. 1993;2:1276-1280.
FREE FULL TEXT
87. Barondess JA. The future of generalism. Ann Intern Med. 1993;119:153-160.
FREE FULL TEXT
88. Brook RH. Quality of care: do we care? Ann Intern Med. 1991;115:486-490.
FREE FULL TEXT
89. Starr P. The Social Transformation of American Medicine. New York, NY: Basic Books Inc; 1982. 90. Hillman AL, Pauly MV, Kerstein JJ. How do financial incentives affect physicians' clinical decisions and the financial performance of health maintenance organizations? N Engl J Med. 1989;321:86-92.
PUBMED
91. Hillman AL. Financial incentives for physicians in HMOs: is there a conflict of interest? N Engl J Med. 1987;317:1743-1748.
PUBMED
92. Franks P, Clancy C, Nutting P. Gatekeeping revisited: protecting patients from overtreatment. N Engl J Med. 1992;327:424-429.
PUBMED
93. Pellegrino ED. Rationing health care: the ethics of medical gatekeeping. In: Monagle JF, Thomasma DC, eds. Medical Ethics: A Guide for Health Care Professionals. Rockville, Md: Aspen Systems Corp; 1988:261-270. 94. Fries JF, Koop CE, Beadle CE, et al. Reducing health care costs by reducing the need and demand for medical services. N Engl J Med. 1993;329:321-325.
PUBMED
95. Wahls TL, Stene RA, Olson KA. General internal medicine practice trends in large multispecialty clinics. J Gen Intern Med. 1991;6:103-107.
PUBMED
96. Lipkin M. Enhancing generalism in internal medicine. Soc Gen Intern Med News. 1993;16(2):2.
97. Lewis CE, Prout DM, Chalmers EP, Leake B. How satisfying is the practice of internal medicine? Ann Intern Med. 1991;114:1-5.
FREE FULL TEXT
98. Dagi TF. Ethics, outcomes and epistemology: how should imprecise data figure into health-policy formulation? J Clin Ethics. 1993;4:262-266.
PUBMED
99. Rosenstock L, Hagopian A. Ethical dilemmas in providing health care to workers. Ann Intern Med. 1987;107:575-580.
FREE FULL TEXT
100. Strull WM, Lo B, Charles G. Do patients want to participate in decision-making? JAMA. 1984;252:2990-2994.
FREE FULL TEXT
101. Wolf SM. Health care reform and the future of physician ethics. Hastings Cent Rep. 1994;24 (2):28-41.
PUBMED
|