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Autonomy and automatons: managed care in the USA

Published online by Cambridge University Press:  02 January 2018

Kwame McKenzie*
Affiliation:
Department of Social Medicine, Harvard Medical School Boston, MA 02115, [email protected]
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Managed care is a phrase on the lips of every US psychiatrist. Some believe that this revolution in health care has brought US doctors kicking and screaming into the age of ‘cost-effective’, ‘evidence-based medicine’ (Mechanic, 1997). But most psychiatrists I interviewed from Boston, San Francisco and New York, thought it had transformed them from autonomous professionals to automatons.

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Briefings
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

Feldman, S. (ed.) (1992) Managed Mental Health Services. Springfield, IL: Charles C. Thomas.Google Scholar
Folland, S., Goodman, A. C. & Stano, M. (1993) The Economics of Healthcare. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Iglehart, J. (1996) Managed care and mental health. New England Journal of Medicine, 334, 131135.CrossRefGoogle ScholarPubMed
Kaiser/Commonwealth Fund (1997) National Survey of Health Insurance. Washington, DC: Henry J. Kaiser Foundation.Google Scholar
Mechanic, D. (1997) Managed care as a target of distrust. Journal of the American Medical Association, 277, 18101811.Google Scholar
Schlesinger, M., Dorwart, R. & Epstein, B. (1996) Managed care constraints on psychiatrist's hospital practices: bargaining power and professional autonomy. American Journal of Psychiatry, 153, 256260.Google Scholar
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