管理护理的成本共享和商业目的的伦理问题
1Legal Studies & Business Ethics Department, The Wharton School, University of Pennsylvania, PA; Edmond & Lily Safra Center for Ethics, Harvard University, Cambridge, MA.
Journal of managed care & specialty pharmacy
|July 31, 2023
概括
营利性管理护理组织应在成本共享决策中优先考虑患者健康而不是投资者的利. 伦理义务要求确保所有患者公平获得必要的医疗资源和药物.
科学领域:
- 生物伦理学生物伦理学
- 卫生经济学 卫生经济学
- 制药政策 制药政策
背景情况:
- 营利性管理护理组织 (MCOs) 应对复杂的成本共享决策.
- 这些决定往往涉及到平衡投资者利益与患者福祉.
- 伦理考虑,特别是关于患者剥削和获得药物的考虑,至关重要.
研究的目的:
- 分析成本共享政策在营利性MCOs的伦理影响.
- 论证优先考虑患者健康和可持续药物获取,而不是最大限度地提高投资者利.
- 为MCO成本共享提供一个道德决策框架.
主要方法:
- 在商业中对道德义务的哲学分析.
- 检查MCO成本共享政策及其对患者获取权的影响.
- 讨论专利和人造障碍在药物获取方面的作用.
主要成果:
- 通过过高的费用或阻止必要的索赔,MCO的成本共享政策可以利用患者.
- 像专利一样,从人工药物障碍中获得的利必须用于资助获取.
- 伦理框架表明,患者的健康应该是首要目标.
结论:
- 医疗卫生组织有道德义务避免利用弱势患者.
- 成本分担的决定应设计为最大限度地提高有效药物的可持续可用性.
- 在成本共享中优先考虑患者健康,确保道德商业实践和公平获得药物.
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