Discussions of managed care frequently begin and end with an
opposition between the Hippocratic ethic of dedication to patient
welfare and a business ethic of self-interest in the service of
efficiency. Mary R. Anderlik approaches managed care as a problem
of organizations. Rejecting a simple "medicine vs. business"
analysis, she directs attention to management as manipulation, the
neglect of such personal goods as satisfaction in professional
accomplishment, and organizational moral myopia.
In this account, "pragmatic" suggests practical idealism, not
the jettisoning of principle in the interests of expediency. In The
Ethics of Managed Care, Anderlik favors a broad empiricism and a
moral vision centered on values of democracy and community. She
describes how organizations can nourish or destroy openness,
creativity, cooperation, and faithfulness and display "virtues"
such as justice, integrity, responsiveness, and efficiency, rightly
understood. She uses community care clinics, asthma outreach
programs, and new contexts for participatory decision-making to
show the promise of managed care. She also explains the
complexities of financial arrangements, arguing for an end to
schemes that reward clinicians for providing less care and
profiting from avoiding people who need a lot of it. The book
concludes with a look at the future of managed care, proposing a
program for reform."
Indiana University Press
|Country of origin:
Mary R. Majumder
||229 x 152 x 21mm (L x W x T)
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