Effects of Managed Care on Physician-Patient Relationships, Quality of Care, and the Ethical Practice of Medicine
Open Access
- 10 August 1998
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Internal Medicine
- Vol. 158 (15), 1626-1632
- https://doi.org/10.1001/archinte.158.15.1626
Abstract
MANAGED CARE has emerged as the dominant method of health care provision in the United States.1 Managed care systems, in assuming responsibility for both the financing and provision of health care,2 present new problems for health care practitioners. The primary care practitioner, in particular, has been put in the position of gatekeeper, whose responsibilities include cost containment as well as patient care.3 Some commentators4-6 have suggested that the new organization of medicine threatens the role of physicians as professionals. Others7 have called for new models of the physician-patient relationship to accommodate the changes in health care financing.Keywords
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