The ethics of accountability in managed care reform.
نویسندگان
چکیده
Two notions of accountability embodied in proposals to reform managed care have different ethical implications. Market accountability requires plans to inform purchasers and consumers about performance and options, in theory legitimizing limits to care through consumer choice. Recognizing the limits of consumer choice, accountability for reasonableness requires that the rationales for limits to services be public and be based on reasons or rules that "fair-minded" people can agree are relevant to pursuing appropriate patient care under necessary resource constraints. Accountability for reasonableness educates clinicians and patients about the need for limits and empowers a more focused public deliberation in which ultimate authority for limiting care rests with democratic processes.
منابع مشابه
Political and Cultural Foundations of Long-term Care Reform; Comment on “Financing Long-term Care: Lessons From Japan”
This paper comments on Naoki Ikegami’s editorial entitled “Financing long-term care: lessons from Japan.” Adding to the editorial, this paper focuses on analyzing the political and cultural foundations of long-term care (LTC) reform. Intergenerational solidarity and inclusive, prudential public deliberation are needed for the establishment or reform of LTC systems. Amon...
متن کاملReflection on the future of medical care: Challenges of social accountability from the viewpoints of care providers and patients
Introduction: Clearly, there are some challenges and difficultiesin fulfilling social accountability which should be identified anddealt with in order to reach the ultimate goal. The main objectiveof this study was to identify the challenges associated with socialaccountability.Methods: In this qualitative study, focus groups and in-depthsemi-structured interview were used to obtain the opinion...
متن کاملThe Role of Ethics, Professionalism & Organizational Identity of Faculty Members on Their Individual Accountability
Background: Professional ethics has been considered by many Iranian organizations in the last decade. Because the roots of many behaviors and activities of managers and professors should be sought in ethics and moral values. Accordingly, the purpose of this study was to investigate the relationship between professional ethics and individual accountability of professors with the mediating role o...
متن کاملRelationship between Ethics Institutionalization and Management Accountability
Background: Accountability has been and is an important and challenging issue in most countries' administrative and political systems and lack of proper and timely response to employees leads to a climate of distrust and coldness. In this regard, the present study aimed to investigate the relationship between institutionalization of ethics and accountability. Method: This is an applied research...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Health affairs
دوره 17 5 شماره
صفحات -
تاریخ انتشار 1998