Conflicts of Care

Conflicts of care.

T he UK readership of Archives will remember October 2004 for CharlotteWyatt 2 and LukeWinstonJones. 4 Charlotte was severely disabled following complications of extreme prematurity, and Luke with trisomy 18. In each case the clinical teams believed that active, life prolonging medical interventions would not be in the best interests of the baby. The cases were brought to the civil courts becau...

Policy Conflicts in Home Care Systems

Technology to support care at home is a promising alternative to traditional approaches. However, home care systems present significant technical challenges. For example, it is difficult to make such systems flexible, adaptable, and controllable by users. The authors have created a prototype system that uses policy-based management of home care services. Conflict detection and resolution for ho...

Managed care and ethical conflicts: anything new?

Does managed care represent the death knell for the ethical provision of medical care? Much of the current literature suggests as much. In this essay I argue that the types of ethical conflicts brought on by managed care are, in fact, similar to those long faced by physicians and by other professionals. Managed care presents new, but not fundamentally different, factors to be considered in medi...

Conflicts of Conscience in Health Care: An Institutional Compromise

Conflicts of interest and management in managed care.

The bioethics literature on managed care has devoted significant attention to a broad range of conflicts that managed care is perceived to have introduced into the practice of medicine. In the first part of this paper we discuss three kinds of conflict of interest: conflicts of economic incentives, conflicts with patient and physician autonomy, and conflicts with the fiduciary character of the ...