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How managed care can be ethical.

L Randel, S D Pearson, J E Sabin

    Health Affairs (Project Hope)
    |July 21, 2001
    PubMed
    Summary
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    The managed care problem is an ethical issue stemming from shifting healthcare from patient-centered to population-centered. The BEST project identified exemplary ethical strategies within managed care organizations to address these challenges.

    Area of Science:

    • Healthcare Ethics
    • Managed Care Systems
    • Health Policy

    Background:

    • Managed care growth in the US faces increasing public criticism.
    • The
    • managed care problem
    • is often framed as protecting patients from corporate interests.
    • A shift from patient-centered to population-centered healthcare models is occurring.

    Purpose of the Study:

    • To reframe the
    • managed care problem
    • as an ethical dilemma.
    • To identify and share innovative, ethical strategies within managed care organizations.
    • To provide a framework for improving the healthcare system.

    Main Methods:

    • The BEST (Best Ethical Strategies for Managed Care) project engaged nine managed care organizations.
    Keywords:
    Empirical ApproachHealth Care and Public Health

    Related Experiment Videos

  • Intractable problems were identified and redefined as ethical dilemmas.
  • Exemplary approaches to these ethical dilemmas were studied.

    • Main Results:

    • Nine managed care organizations participated in the BEST project.
    • Ethical dilemmas within managed care were identified and analyzed.
    • Innovative and exemplary ethical strategies were documented.

    Conclusions:

    • The
    • managed care problem
    • is fundamentally an ethical conflict of values.
    • Sharing exemplary ethical strategies can help other organizations and policymakers.
    • Adoption of these strategies can improve the overall healthcare system.