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Changing Health Care Systems from Ethical, Economic, and Cross Cultural Perspectives - Erich H. Loewy

Changing Health Care Systems from Ethical, Economic, and Cross Cultural Perspectives

By: Erich H. Loewy (Editor), Roberta Springer Loewy (Editor)

Hardcover Published: 31st May 2001
ISBN: 9780306465789
Number Of Pages: 170

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This volume is the result of a conference sponsored by the Medical Alumni Association of the University of California, Davis and held in Sacramento, California, in January, 2000, The purpose of this conference was to examine the impact ofvarious health care structures on the ability of health care professionals to practice in an ethically acceptable manner. One of the ground assumptions made is that ethical practice in medicine and its related fields is difficult in a setting that pays only lip service to ethical principles. The limits of ethical possibility are created by the system within which health care professionals must practice. When, for example, ethical practice necessitates-as it generally does-that health care professionals spend sufficient time to come to know and understand their patients' goals and values but the system mandates that only a short time be spent with each patient, ethical practice is made virtually impossible. One of our chief frustrations in teaching health care ethics at medical colleges is that we essentially teach students to do something they are most likely to find impossible to do: that is, get to know and appreciate their patients' goals and values. There are other ways in which systems alter ethical possibilities. In a system in which patients have a different physician outside the hospital than they will inside, ethical problems have a different shape than if the treating physician is the same person.

Health Care Systems and Ethicsp. 1
Facing Finitude in Healthp. 15
Health Care as a Rightp. 29
The Oregon Health Plan Ten Years Laterp. 49
A Mortgage on the House of Godp. 63
Values in Medicinep. 71
Generational Conflicts and their Impact on Thinking about the Healthcare Systemp. 77
The Uninsured and the Rationing of Health Carep. 85
Application and Implications of Deontology, Utilitarianism, and Pragmatism for Medical Practicep. 101
The Old Ethics and the New Economics of Health Carep. 113
Playing the HMO Language Gamep. 127
Rationing Health Care in the United States and Canadap. 143
Altering Capitation to Reduce the Incentive to Undertreat Patients Inappropriatelyp. 151
Cross Cultural Issues in Medicinep. 163
Competing Interests in Pediatric Managed Care Settingsp. 173
Indexp. 181
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780306465789
ISBN-10: 0306465787
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 170
Published: 31st May 2001
Publisher: SPRINGER VERLAG GMBH
Country of Publication: US
Dimensions (cm): 25.4 x 17.78  x 1.27
Weight (kg): 0.59