MANAGED CARE ASSIGNMENT
MANAGED CARE
Ethical concerns, issues and challenges
MANAGED CARE
- The History of managed care
The managed care is identified to be within the health maintenance organization. There are techniques which involve within the range of personal health profit program. This technique play a role like to cut back the price of providing health advantages and improve the standard of care Certainly, the managed care is therefore omnipresent within United States thus tend to attract an overall goal tackling dominant medical prices. Due to standards regarding U.S healthcare delivery, managed care sharply involved in critics regarding impact of the physicians-patient relationship.
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ETHICAL CONCERNS
- Managed care ethics
The ethical issues in managed care are similar to physical health whereby the structural differences complicate an ethical analysis. This explores that the managed health care could limit access. This trend involves managed mental health care which is based on assertion in empirical evidence. This enhances access to care and to patients preferably to obtain services in timely and appropriate manner. This is because the evolution of managed care has posed ethical problems for the physicians, patients and administrations.
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ETHICAL CONCERNS
- Issues and challenges
Managed care organization is responsible for managing care of the population through health care system which monitors and coordinates care through entire range of service, emphasizes prevention and health education, encourages provision of care preferably in most of the setting and promotes cost-effective use of services through aligning incentives.
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ISSUE CONCERNS AND CHALLENGES
- Managed care ethics
- Issues regarding medical ethics
The managed care involves social context of ethical decision making through different stakes of traditional medical ethics. Ethically, the managed care realizes separation of ethical concerns from the political and social environment. The ethical panes indicate that the ethical obligation of managed care tends to explore care and physicians as well as obligation of patient to honor the social contract. Therefore, parents have an obligation not to lie so as to get what they should have in their perfection.
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OVERVIEW OF MANAGED CARE
- An overview of how managed care impacts the physician–patient relationship.
The managed care is identified to have emerged as a dominant method of health care provision in USA. Moreover, the new organization of medicine has threatened the role of physicians as professional. The survey contacted indicates that, the physicians believe managed care is impacting their professional obligations. The managed care on medical practices is evolving and the clinicians, lawyers, medical ethicists and other observers have raised the concerns about physicians-patient relationship. Also the studies have explored the effects of managed care on the physician satisfactory.
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OVERVIEW OF MANAGED CARE
- Methods applied
The methods used were to investigate impact of managed care on: physician-parent relationships, the ability of physicians in carrying out their professional ethical obligations and the quality of patient care. The questionnaire is well based on the literature survey and input from most of the physicians and integrated financing and delivery of medical services. Certainly, the survey consisted of series of questions which responses on the graded Likert Scale and demographic information.
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OVERVIEW OF MANAGED CARE
- Results
The studies show that the managed care impacted physician-patient relationship through ability in carrying out ethical obligations, the quality of patient care and implications on the health care system reform efforts. However, the managed care is quite compromised by limitations in location of diagnostic test, length of hospital stay as well as choice of specialists. Most of the physicians believed that, the managed care significantly had negative effects on the physician-patient relationship, the ability to perform ethical obligations together with quality of patient care.
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OVERVIEW OF MANAGED CARE
- Conclusion
The evidence portrays that, numeral physicians has concluded that the managed care had negative effects on physician-patient relationship, the quality needed improvement, availability of ethical obligations and other implication of system reforms within their strategic management. The managed care systems have been outlaid in associate to financial and provision of health care managed. Certainly, the primary care practitioner is particularly tackling the cost containment together with patient care.
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MANAGED CARE WEAKNESSES
- The weaknesses of managed care
The pre-approval is required before starting treatment, patient is limited to panel or network providers, there is limited confidentiality, the treatment is usually more time-limited than in POS coverage and id an individual appeals managed care limits, coverage mist wait for appeal. The other weaknesses of managed care that, the network providers may not have appointment much more than the individual schedule fit and also the service is too slow because you have to wait weeks for an appointment.
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MANAGED CARE WEAKNESSES
- The weaknesses of managed care
When it comes to managed care for some members, there is a rigidity of rules which concerns choice of health care providers. Considering some aspect in managed care, the members are not fully satisfied with the care which is given by primary care physician. There are complains which pertain managed health care provider contract inexperienced, the less educated doctors and the health professionals. Managed care is criticized for health strictness of SOPs whereby there is need for obtaining approval from the insurance providers.
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REFERENCES
- Bondeson, W. B. (2002). The ethics of managed care: Professional integrity and patient rights. Dordrecht: Kluwer.
- Gervais, K. G. (1999). Ethical challenges in managed care: A casebook. Washington, DC: Georgetown Univ. Press.
- Morrison, E. E., & Monagle, J. F. (2009). Health care ethics: Critical issues for the 21st century. Sudbury, Mass: Jones and Bartlett Publishers.