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The managed care experience: the social worker's perspective

H A Riffe1

  • 1College of Social Work, University of Kentucky, Lexington 40506-0027, USA.

Social Work in Health Care
|November 5, 1998
PubMed
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Managed care is increasingly impacting social work, leading to ethical conflicts for clinicians. This study surveyed 442 social workers to explore these experiences and their implications for the profession.

Area of Science:

  • Social Work
  • Healthcare Ethics
  • Managed Care Policy

Background:

  • Managed care is a significant factor influencing healthcare delivery in the United States.
  • Social workers face unique challenges within managed care systems.
  • Ethical considerations are paramount in social work practice, especially when navigating insurance complexities.

Purpose of the Study:

  • To investigate the perceived influence of managed care on social work activities.
  • To explore the ethical conflicts experienced by social workers in managed care settings.
  • To discuss the broader implications of managed care for the social work profession.

Main Methods:

  • A survey was distributed to 442 social worker clinicians.
  • Data was collected from the National Association of Social Workers (NASW) Clinical Social Worker Registry.

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  • The study analyzed social workers' perceptions of managed care impact and ethical challenges.

    • Main Results:

    • A majority of surveyed social workers perceive an increasing influence of managed care on their daily activities.
    • Significant ethical conflicts arise for social workers when interacting with primary insurers.
    • The findings highlight a growing tension between managed care demands and social work ethical standards.

    Conclusions:

    • Managed care significantly affects social work practice, necessitating a re-evaluation of ethical guidelines.
    • Social workers require support and resources to navigate the ethical dilemmas posed by managed care.
    • Further research is needed to develop strategies for addressing the impact of managed care on social work ethics and service delivery.