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Related Experiment Videos

Incentives and obligations under prospective payment.

G J Agich

    The Journal of Medicine and Philosophy
    |May 1, 1987
    PubMed
    Summary
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    This study examines the conflict between healthcare cost containment incentives and physician beneficence. It argues that criticisms of prospective payment systems based on this conflict are often rhetorical rather than substantive.

    Area of Science:

    • Healthcare Economics
    • Medical Ethics
    • Health Services Research

    Background:

    • Prospective payment systems (PPS) introduce economic incentives for efficient healthcare resource utilization.
    • Physicians have a professional obligation to provide the best possible medical care to patients.
    • A perceived conflict exists between these economic incentives and the physician's duty of beneficence.

    Purpose of the Study:

    • To analyze the alleged conflict between economic incentives in healthcare and the physician's obligation to provide optimal patient care.
    • To explore the nature of economic incentives and their relation to moral psychology.
    • To examine definitions of professional obligation and conditions that qualify it.

    Main Methods:

    • Analysis of prospective payment systems and economic incentives.
    Keywords:
    Analytical ApproachHealth Care and Public HealthPhilosophical Approach

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  • Discussion of moral psychology concepts related to incentives.
  • Examination of definitions and qualifications of physician's professional obligations.
  • Exploration of differing perspectives between economists and physicians.

    • Main Results:

    • Criticisms of PPS based on the conflict between cost containment and beneficence may be largely rhetorical.
    • Economic incentives and moral psychology concepts of incentives share common ground.
    • Physician's professional obligations are complex and subject to moral qualifications.
    • Divergent views between economists and physicians on economic incentives warrant further investigation.

    Conclusions:

    • The conflict between economic incentives and physician beneficence in healthcare is often overstated.
    • Rhetoric plays a significant role in the debate surrounding prospective payment systems.
    • A nuanced understanding of economic incentives, professional obligations, and differing disciplinary perspectives is crucial for effective healthcare policy.