如何在医疗计费中行使诚信:不要扭曲价格,不要免费乘坐其他医生
1Albert Einstein College of Medicine, New York City, New York, USA.
The Journal of medicine and philosophy
|October 7, 2023
概括
医生账单游戏,医生利用他人的账单,是错误的,因为它伤害患者和保险公司. 这种不道德的做法扭曲了医疗保健价格和资源分配,需要关注医疗教育中的计费完整性.
科学领域:
- 医学伦理 医学伦理
- 医疗保健经济学 医疗经济学
- 专业责任 专业责任 专业责任
背景情况:
- 医生计费实践可能涉及"游戏技巧",利用同行的计费方法.
- 以前的伦理分析集中在医疗保健的特定特征,但更广泛的伦理原则可能适用.
- 了解计费的伦理基础对于保持医疗保健的信任和效率至关重要.
研究的目的:
- 提出一种新的伦理框架,以理解和谴责医生计费游戏技巧.
- 区分拟议的伦理解释与现有的账户,特别是那些关注医疗保健系统特点的账户.
- 为医生和机构提供关于促进道德计费诚信的实际指导.
主要方法:
- 伦理原则的哲学分析,特别是普遍性和竞争优势.
- 对现有的关于医生计费的伦理论点进行批评.
- 开发一种新的伦理测试来评估计费实践.
主要成果:
- 计费游戏技巧在道德上是错误的,因为它是不可普及的,不能提供竞争优势.
- 这种做法导致价格扭曲和医疗保健资源分配效率低下.
- 医疗保健和保险的特殊特点加剧了,但并不构成游戏制作的主要错误.
结论:
- 计费游戏技巧的主要道德缺陷是它对系统造成的分散的,无法追踪的伤害.
- 医生应该通过询问是否普遍适用以及服务是否有利于患者来评估计费做法.
- 医学院和专业机构必须积极促进医生计费的诚信,以防止自由行,并确保公平的做法.
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