Published July 1987
by Univ of Chicago Center Health .
Written in English
|The Physical Object|
Innovations in medical care have led to improvements in quality and quantity of life. Researchers estimated that improvements in medical care contributed to the life expectancy for newborns increasing by almost seven years from to . However, U.S. health spending reached an estimated trillion dollars in and the health share. A. Ethical Dilemmas Posed by Cost Containment The ethical tensions confronting the physician in an era of cost-containment are complex. The conflicts experienced by the physician may vary in intensity, depending upon the source of cost pressures and the nature of the institution. 5. In his book, Paul Starr depicted the rise of physician autonomy and then its gradual erosion in the 20th century—a transformation lasting 80 to years Historian Rosemary Stevens described the transformation of the American hospital from a community institution focused on health (especially for lower income populations) to a corporation Cited by: The bioethics principle of respect for individual autonomy encompasses two often competing interests—the autonomy of the patient and that of the physician. With the increasing complexity of medical treatment and controversies over end-of-life decisions, preserving patient autonomy in medical decision making has become a key interest .Cited by: 1.
The inattention to health care costs was particularly glaring. Rarely a day passed at the IOM where I did not attend a meeting, read an article, or work on a report that dealt with the cost crises in health care. But these challenges, and the physician role in cost containment, were absent from most school’s curricula. Medicare and physician autonomy, as the Medicare program has become the domi-nant force in setting physician payment policy. We will consider the concept of phy-sician autonomy, specifically its economic and clinical dimensions, and the . With risk-based models like bundled payments gaining speed, hospitals and health systems need to reexamine their cost cutting strategies and include physicians in . Personal and corporate ethical standards and behaviour are at the very heart of the medical profession's implicit contract with society. 1,2,3 The dual functions of physicians, to be healers and to be professionals, is an integral mixture of science and ethics 4 and MD, according to some, should represent both a medical degree and a moral degree. 5 In the early 21st century health Cited by:
[13,14] Escalating constraints on autonomy, instituted in successive waves of health reform (i.e. managed care, evidence-based medicine, patient-centered care, and value-based care) [7, . Vocal about legislation concerning providers and cost containment, malpractice reform, physician autonomy. Insurance Companies Often seen as "self serving" because they eliminate high-risk consumers from insurance pools and impose frequent premium hikes. The corporatization of U.S. health care has directed cost containment efforts toward scrutinizing the clinical decisions of physicians. This stimulated a variety of new utilization management. Medical Cost Reduction Home / Services / Medical Cost Reduction Rising’s Bill Review solutions substantially reduce medical costs by integrating powerful data, repricing intelligence, and the professional expertise of auditors, nurses, and physician advisors.