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Mediation and managed care

N N Dubler1

  • 1Montefiore Medical Center and The Albert Einstein College of Medicine, Bronx, New York 10467-2490, USA.

Journal of the American Geriatrics Society
|March 26, 1998
PubMed
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Managed care introduces new conflicts between patients and providers by altering healthcare dynamics. Mediation, inspired by bioethics, offers a balanced approach to resolve these disputes effectively.

Area of Science:

  • Healthcare Management
  • Bioethics
  • Conflict Resolution

Background:

  • Managed care has fundamentally altered traditional patient-provider relationships, introducing new disputes.
  • The involvement of managed care organizations (MCOs) creates a triad, shifting power dynamics and responsibilities.
  • The cost-containment focus of MCOs can exacerbate misunderstandings and conflicts among organizations, physicians, and patients.

Purpose of the Study:

  • To analyze the impact of managed care on healthcare conflicts.
  • To propose effective dispute resolution mechanisms within managed care settings.
  • To advocate for strengthening the patient's voice in healthcare decision-making.

Main Methods:

  • Conceptual analysis of managed care's impact on healthcare disputes.
Keywords:
Health Care and Public Health

Related Experiment Videos

  • Argument for mediation as a suitable dispute resolution method.
  • Proposal of bioethics consultation as a model for mediation in managed care.

    • Main Results:

    • Managed care inherently increases the potential for conflicts due to its structure and cost-containment orientation.
    • Mediation effectively addresses power imbalances and realigns interests in managed care disputes.
    • Bioethics consultation provides a framework for applying mediation principles to managed care.

    Conclusions:

    • Managed care necessitates new strategies for conflict management to ensure financial viability and integrity.
    • Strengthening patient involvement in decision-making and appeals is crucial.
    • Mediation, modeled on bioethics consultation, is the most appropriate method for resolving managed care disputes.