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Managed Care, Doctors, and Patients: Focusing on Relationships, Not Rights

Published online by Cambridge University Press:  01 July 2003

ROBYN S. SHAPIRO ,
KRISTEN A. TYM ,
DAN EASTWOOD ,
ARTHUR R. DERSE  and
JOHN P. KLEIN
ROBYN S. SHAPIRO
Affiliation:
Robyn S. Shapiro, J.D., is Professor of Bioethics and Director of the Center for the Study of Bioethics at the Medical College of Wisconsin
KRISTEN A. TYM
Affiliation:
Kristen A. Tym, M.A., is Program Coordinator in the Center for the Study of Bioethics at the Medical College of Wisconsin in Milwaukee
DAN EASTWOOD
Affiliation:
Dan Eastwood, M.S., is Manager of the Biostatistics Consulting Center at the Medical College of Wisconsin in Milwaukee
ARTHUR R. DERSE
Affiliation:
Arthur R. Derse, M.D., J.D., is Director of Medical and Legal Affairs and Associate Director of the Center for the Study of Bioethics, and Clinical Professor of Bioethics and Emergency Medicine, at the Medical College of Wisconsin in Milwaukee
JOHN P. KLEIN
Affiliation:
John P. Klein, Ph.D., is Professor and Director of Biostatistics at the Medical College of Wisconsin in Milwaukee
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Extract

For over a decade, managed care has profoundly altered how healthcare is delivered in the United States. There have been concerns that the patient-physician relationship may be undermined by various aspects of managed care, such as restrictions on physician choice, productivity requirements that limit the time physicians may spend with patients, and the use of compensation formulas that reward physicians for healthcare dollars not spent. We have previously published data on the effects of managed care on the physician-patient relationship from the physician's perspective. In 1999, we collected data on the impact of managed care arrangements on the physician-patient relationship from the patient's perspective. This article discusses our collective findings.

Type
Research Article
Information
Cambridge Quarterly of Healthcare Ethics , Volume 12 , Issue 3 , July 2003 , pp. 300 - 307
Copyright
© 2003 Cambridge University Press

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