In the latest reform of the National Health Service great emphasis has been placed on the
achievement and maintenance of quality. Mechanisms for ensuring this are being set up …

Managed care in the USA is best understood in the context of the history of health care. It is
an effort to manage the soaring costs of health care while retaining quality. Many ethical …

Changes in healthcare financing increasingly rely upon patient cost-sharing to control
escalating healthcare expenditures. These changes raise new challenges for physicians …

The literature on managed care is predominantly a mix of diverse opinions and statistical
reports on service use and costs. There is all too little discussion of the ends toward which …

I. INTRODUCTION M ANAGED care is changing the entire business structure of health care
as it spreads as a financing mechanism. These changes affect all aspects of medicine, not …

The moral economy of American medicine has been transformed by contentious innovations
in organization, administration, regulation, and finance. In many settings old fee-for-service …

The rapid rise of managed care in the United States has introduced new complexities into
ethical dilemmas in health care by changing the traditional relationships among health …

In an era of rapidly rising health care costs, physicians and policymakers are searching for
new and effective ways to contain health care spending without sacrificing the quality of …

A health care organization has an obligation to act in an ethical manner in clinical and
business relationships with the public it serves. When examined closely, the boundary …

The Canadian healthcare system is costly. Each day, health leaders must make decisions
about what healthcare services will be offered, how they will be funded, to whom they will be …