|
|
|
|
We surveyed attitudes of US neurologists about the ethical dimensions of managed care by administering a written instrument containing paradigmatic cases portraying conflicts of physicians,patients,and managed care organizations(MCOs).After each case,we assessed neurologists'attitudes by asking them their degree of agreement with a series of statements.We found that neurologist(1)generally were willing to follow practice guidelines if they were created by medical societies;(2)experienced frequent conflicts of interest or conflicts of obligation in the care of their MCO patients; (3)feared legal ramifications of their clinical decisions on MCO patients; (4)were unwilling to employ deception or gaming to achieve what they perceived to be good patient care;(5)believes that their professional prerogatives of autonomy were under attack by MCOs;and(6)felt that the good of their patients should not be sacrificed for the good of society. |
|