Medicine, money, and morals: physicians' conflicts of interest
Physicians' conflicts of interest are rampant in the American medical community. Today it is not uncommon for doctors to refer patients to clinics or labs in which they have a financial interest; for hospitals to offer incentives to physicians who refer patients to them; or for drug companies t...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
New York u.a.
Oxford Univ. Press
1993
|
| Schlagworte: | |
| Zusammenfassung: | Physicians' conflicts of interest are rampant in the American medical community. Today it is not uncommon for doctors to refer patients to clinics or labs in which they have a financial interest; for hospitals to offer incentives to physicians who refer patients to them; or for drug companies to provide lucrative give-aways to entice doctors to use their "brand name" drugs In Medicine, Money, and Morals, Marc A. Rodwin examines these conflicts of interest, explains why the profession has failed to cope successfully with them, and shows how they have become worse over the past century. He looks at how - in response to dubious practices of the past such as fee-splitting, physicians' ownership of medical facilities, drug dispensing, and the like - the profession developed ethical guidelines but was unable to enforce them. He shows how current public policies and institutional practices now offer doctors financial incentives to promote various goals at odds with the interest of patients. These policies and practices, Rodwin writes, tie doctors' personal financial well-being to medical care providers - hospitals, medical suppliers, and pharmaceutical firms - and also to insurers and other third party payers. Doctors today are tempted to think of how they will fare financially by making particular clinical decisions As a result, patients often receive too many or too few medical services, or the wrong kind, sometimes undergoing painful, dangerous, or unnecessary medical procedures. Rodwin shows what can be learned from the way society has coped with conflicts of interest involving other professionals (lawyers, government officials and financial professionals), all of whom are held to higher standards of accountability than doctors. He explains, too, why simplistic solutions such as public disclosure of conflicts or government ownership of health services won't work. He offers examples of what can be done to help reduce these problems by regulation, tax policy, auditing, and peer review. He recommends that we prevent doctors from entering situations which give rise to conflicts of interest by subjecting them to oversight and by imposing sanctions for breach of trust |
| Beschreibung: | XVII, 411 S. Ill. |
| ISBN: | 0195080963 |
Internformat
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| 520 | 3 | |a Physicians' conflicts of interest are rampant in the American medical community. Today it is not uncommon for doctors to refer patients to clinics or labs in which they have a financial interest; for hospitals to offer incentives to physicians who refer patients to them; or for drug companies to provide lucrative give-aways to entice doctors to use their "brand name" drugs | |
| 520 | |a In Medicine, Money, and Morals, Marc A. Rodwin examines these conflicts of interest, explains why the profession has failed to cope successfully with them, and shows how they have become worse over the past century. He looks at how - in response to dubious practices of the past such as fee-splitting, physicians' ownership of medical facilities, drug dispensing, and the like - the profession developed ethical guidelines but was unable to enforce them. He shows how current public policies and institutional practices now offer doctors financial incentives to promote various goals at odds with the interest of patients. These policies and practices, Rodwin writes, tie doctors' personal financial well-being to medical care providers - hospitals, medical suppliers, and pharmaceutical firms - and also to insurers and other third party payers. Doctors today are tempted to think of how they will fare financially by making particular clinical decisions | ||
| 520 | |a As a result, patients often receive too many or too few medical services, or the wrong kind, sometimes undergoing painful, dangerous, or unnecessary medical procedures. Rodwin shows what can be learned from the way society has coped with conflicts of interest involving other professionals (lawyers, government officials and financial professionals), all of whom are held to higher standards of accountability than doctors. He explains, too, why simplistic solutions such as public disclosure of conflicts or government ownership of health services won't work. He offers examples of what can be done to help reduce these problems by regulation, tax policy, auditing, and peer review. He recommends that we prevent doctors from entering situations which give rise to conflicts of interest by subjecting them to oversight and by imposing sanctions for breach of trust | ||
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Datensatz im Suchindex
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| discipline | Philosophie |
| format | Book |
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| spelling | Rodwin, Marc A. Verfasser aut Medicine, money, and morals physicians' conflicts of interest Marc A. Rodwin New York u.a. Oxford Univ. Press 1993 XVII, 411 S. Ill. txt rdacontent n rdamedia nc rdacarrier Physicians' conflicts of interest are rampant in the American medical community. Today it is not uncommon for doctors to refer patients to clinics or labs in which they have a financial interest; for hospitals to offer incentives to physicians who refer patients to them; or for drug companies to provide lucrative give-aways to entice doctors to use their "brand name" drugs In Medicine, Money, and Morals, Marc A. Rodwin examines these conflicts of interest, explains why the profession has failed to cope successfully with them, and shows how they have become worse over the past century. He looks at how - in response to dubious practices of the past such as fee-splitting, physicians' ownership of medical facilities, drug dispensing, and the like - the profession developed ethical guidelines but was unable to enforce them. He shows how current public policies and institutional practices now offer doctors financial incentives to promote various goals at odds with the interest of patients. These policies and practices, Rodwin writes, tie doctors' personal financial well-being to medical care providers - hospitals, medical suppliers, and pharmaceutical firms - and also to insurers and other third party payers. Doctors today are tempted to think of how they will fare financially by making particular clinical decisions As a result, patients often receive too many or too few medical services, or the wrong kind, sometimes undergoing painful, dangerous, or unnecessary medical procedures. Rodwin shows what can be learned from the way society has coped with conflicts of interest involving other professionals (lawyers, government officials and financial professionals), all of whom are held to higher standards of accountability than doctors. He explains, too, why simplistic solutions such as public disclosure of conflicts or government ownership of health services won't work. He offers examples of what can be done to help reduce these problems by regulation, tax policy, auditing, and peer review. He recommends that we prevent doctors from entering situations which give rise to conflicts of interest by subjecting them to oversight and by imposing sanctions for breach of trust Artsen gtt Bioéthique - États-Unis ram Conflits d'intérêts Conflits d'intérêts - États-Unis ram Financiën gtt Medische ethiek gtt Soins médicaux - Coût - Contrôle - Aspect moral - États-Unis Soins médicaux - États-Unis - Prise de décision - Aspect moral Soins médicaux - Évaluation - États-Unis ram Économie de la santé - États-Unis ram Éthique médicale Éthique médicale - États-Unis ram Conflict of Interest Conflict of interests Economics, Medical Ethics, Medical Medical care United States Cost control Medical ethics United States Decision making Morals Physicians Physicians Professional ethics Entscheidungsträger (DE-588)4204152-1 gnd rswk-swf Arzt (DE-588)4003157-3 gnd rswk-swf Interessenkonflikt (DE-588)4123438-8 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Gesundheitsökonomie (DE-588)4130935-2 gnd rswk-swf Wirtschaftlichkeitsprinzip (DE-588)4190041-8 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf USA (DE-588)4078704-7 g Gesundheitswesen (DE-588)4020775-4 s Gesundheitsökonomie (DE-588)4130935-2 s Arzt (DE-588)4003157-3 s Entscheidungsträger (DE-588)4204152-1 s DE-604 Wirtschaftlichkeitsprinzip (DE-588)4190041-8 s Interessenkonflikt (DE-588)4123438-8 s |
| spellingShingle | Rodwin, Marc A. Medicine, money, and morals physicians' conflicts of interest Artsen gtt Bioéthique - États-Unis ram Conflits d'intérêts Conflits d'intérêts - États-Unis ram Financiën gtt Medische ethiek gtt Soins médicaux - Coût - Contrôle - Aspect moral - États-Unis Soins médicaux - États-Unis - Prise de décision - Aspect moral Soins médicaux - Évaluation - États-Unis ram Économie de la santé - États-Unis ram Éthique médicale Éthique médicale - États-Unis ram Conflict of Interest Conflict of interests Economics, Medical Ethics, Medical Medical care United States Cost control Medical ethics United States Decision making Morals Physicians Physicians Professional ethics Entscheidungsträger (DE-588)4204152-1 gnd Arzt (DE-588)4003157-3 gnd Interessenkonflikt (DE-588)4123438-8 gnd Gesundheitswesen (DE-588)4020775-4 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd Wirtschaftlichkeitsprinzip (DE-588)4190041-8 gnd |
| subject_GND | (DE-588)4204152-1 (DE-588)4003157-3 (DE-588)4123438-8 (DE-588)4020775-4 (DE-588)4130935-2 (DE-588)4190041-8 (DE-588)4078704-7 |
| title | Medicine, money, and morals physicians' conflicts of interest |
| title_auth | Medicine, money, and morals physicians' conflicts of interest |
| title_exact_search | Medicine, money, and morals physicians' conflicts of interest |
| title_full | Medicine, money, and morals physicians' conflicts of interest Marc A. Rodwin |
| title_fullStr | Medicine, money, and morals physicians' conflicts of interest Marc A. Rodwin |
| title_full_unstemmed | Medicine, money, and morals physicians' conflicts of interest Marc A. Rodwin |
| title_short | Medicine, money, and morals |
| title_sort | medicine money and morals physicians conflicts of interest |
| title_sub | physicians' conflicts of interest |
| topic | Artsen gtt Bioéthique - États-Unis ram Conflits d'intérêts Conflits d'intérêts - États-Unis ram Financiën gtt Medische ethiek gtt Soins médicaux - Coût - Contrôle - Aspect moral - États-Unis Soins médicaux - États-Unis - Prise de décision - Aspect moral Soins médicaux - Évaluation - États-Unis ram Économie de la santé - États-Unis ram Éthique médicale Éthique médicale - États-Unis ram Conflict of Interest Conflict of interests Economics, Medical Ethics, Medical Medical care United States Cost control Medical ethics United States Decision making Morals Physicians Physicians Professional ethics Entscheidungsträger (DE-588)4204152-1 gnd Arzt (DE-588)4003157-3 gnd Interessenkonflikt (DE-588)4123438-8 gnd Gesundheitswesen (DE-588)4020775-4 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd Wirtschaftlichkeitsprinzip (DE-588)4190041-8 gnd |
| topic_facet | Artsen Bioéthique - États-Unis Conflits d'intérêts Conflits d'intérêts - États-Unis Financiën Medische ethiek Soins médicaux - Coût - Contrôle - Aspect moral - États-Unis Soins médicaux - États-Unis - Prise de décision - Aspect moral Soins médicaux - Évaluation - États-Unis Économie de la santé - États-Unis Éthique médicale Éthique médicale - États-Unis Conflict of Interest Conflict of interests Economics, Medical Ethics, Medical Medical care United States Cost control Medical ethics United States Decision making Morals Physicians Physicians Professional ethics Entscheidungsträger Arzt Interessenkonflikt Gesundheitswesen Gesundheitsökonomie Wirtschaftlichkeitsprinzip USA |
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