Conflicts of interest in managed care. 1995

T A Tamborlane, and T Schaper

With the advent of managed care, physicians are joining a variety of organizations in addition to their medical staffs. These new associations with various entities present new issues regarding conflicts of interest and ethical decision-making which have not yet been addressed by the AMA.

UI MeSH Term Description Entries
D008329 Managed Care Programs Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS. Case Management, Insurance,Insurance Case Management,Managed Health Care Insurance Plans,Managed Care,Care, Managed,Managed Care Program,Management, Insurance Case,Program, Managed Care,Programs, Managed Care
D008505 Medical Staff, Hospital Professional medical personnel approved to provide care to patients in a hospital. Attending Physicians, Hospital,Hospital Medical Staff,Physicians, Junior,Registrars, Hospital,Attending Physician, Hospital,Hospital Attending Physician,Hospital Attending Physicians,Hospital Medical Staffs,Medical Staffs, Hospital,Hospital Registrar,Hospital Registrars,Junior Physician,Junior Physicians,Physician, Junior,Registrar, Hospital,Staff, Hospital Medical,Staffs, Hospital Medical
D010820 Physicians Individuals licensed to practice medicine. Physician
D004992 Ethics, Medical The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families. Medical Ethics
D006075 Governing Board The group in which legal authority is vested for the control of health-related institutions and organizations. Board, Governing,Boards, Governing,Governing Boards
D000574 American Medical Association Professional society representing the field of medicine. AMA - American Medical Association,AMA American Medical Association,Association, American Medical,Medical Association, American
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.
D016265 Conflict of Interest A situation in which an individual might benefit personally from official or professional actions. It includes a conflict between a person's private interests and official responsibilities in a position of trust. The term is not restricted to government officials. The concept refers both to actual conflict of interest and the appearance or perception of conflict. Interest Conflict,Interest Conflicts
D032781 Codes of Ethics Systematic statements of principles or rules of appropriate professional conduct, usually established by professional societies. Ethical Codes,Ethical Oaths,Code of Ethics,Codes of Professional Ethics,Ethical Directives,Code, Ethical,Codes, Ethical,Directive, Ethical,Directives, Ethical,Ethical Code,Ethical Directive,Ethical Oath,Ethics Code,Ethics Code, Professional,Ethics Codes,Ethics Codes, Professional,Oath, Ethical,Oaths, Ethical,Professional Ethics Code,Professional Ethics Codes

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