Autor: |
McCullough LB; Baylor College of Medicine, Center for Medical Ethics and Health Policy, Houston, Texas, USA., Chervenak FA |
Jazyk: |
angličtina |
Zdroj: |
Obstetrics and gynecology [Obstet Gynecol] 1999 Feb; Vol. 93 (2), pp. 304-7. |
DOI: |
10.1016/s0029-7844(98)00339-1 |
Abstrakt: |
Obstetrics and gynecology has been transformed from a fee-for-service, unmanaged system to a prepaid managed system. This change poses significant ethical challenges, which we address. We show that obstetrician-gynecologists and medical institutions are moral co-fiduciaries of female and pregnant patients, that the obstetrician-gynecologist should be economically disciplined without capitulating to managed care, and that managed care organizations have an obligation to support the medical education and research from which they benefit. |
Databáze: |
MEDLINE |
Externí odkaz: |
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