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Record Nr. |
UNINA9910812256903321 |
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Autore |
Rodwin Marc A |
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Titolo |
Medicine, money, and morals : physicians' conflicts of interest / / Marc A. Rodwin |
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Pubbl/distr/stampa |
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New York, : Oxford University Press, 1995 |
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ISBN |
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0-19-770757-2 |
1-280-45119-X |
0-19-802426-6 |
9786610451197 |
1-4237-4065-3 |
1-60256-040-4 |
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Edizione |
[Paperback ed.] |
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Descrizione fisica |
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1 online resource (xvii, 411p. ) : ill., facsims |
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Collana |
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Oxford scholarship online |
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Disciplina |
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Soggetti |
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Medical ethics - United States |
Medical care, Cost of - Moral and ethical aspects - United States |
Medical care - United States - Cost control |
Physicians - Professional ethics - United States |
Conflict of interests |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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Previously issued in print: 1993. |
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Nota di bibliografia |
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Includes bibliographical references and index. |
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Nota di contenuto |
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Intro -- Contents -- Foreword -- Introduction -- I. THE PROBLEM AND THE PROFESSION'S RESPONSE -- 1 Physicians' Conflicts of Interest -- The Patient-Physician Relationship -- What Are Conflicts of Interest? -- The Changing Context of Medicine -- 2 The Medical Profession's Response: 1890-1992 -- Conflicts of Interest and the AMA and ACS Response: 1890 to 1950 -- The Commercial Transformation: 1950s to 1980 -- The Ethics of Markets: 1980 to 1992 -- Bioethics -- Conclusion -- II. CURRENT PROBLEMS AND INSTITUTIONAL RESPONSES -- 3 Incentives to Increase Services: The Range of Existing Practices -- Financial Arrangements That Create Conflicts of Interest -- The Maze of Financial Incentives -- The Unity of Conflicts of Interest -- 4 The Dangers of Incentives to Increase Services and the Ineffectiveness of Current Responses -- The Dangers of Financial Incentives -- |
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Countering Financial Incentives: Utilization and Peer Review -- The Limitations of Current Law and Policy -- 5 Incentives to Decrease Services In HMOs and Hospitals -- Withholding Services and Conflicts of Interest -- HMOs and Financial Incentives -- Hospitals and Financial Incentives -- 6 The Dangers of Incentives to Decrease Services and the Ineffectiveness of Current Responses -- The Dangers of Financial Incentives -- Countering Financial Incentives: Peer Review and Quality Assurance -- The Limitations of Current Law -- III. INFERENCES FOR POLICY -- 7 Fiduciary Law and the Professions: Regulation of Civil Servants, Business Professionals, and Lawyers -- Fiduciary Principles and the Professions -- Conflicts of Interest of Public Officials -- Conflicts of Interest in Business -- Conflicts of Interest of Lawyers -- Common Intervention Strategies to Hold Fiduciaries Accountable -- Lessons for Physicians -- 8 What Needs to Be Done? -- The Limits of Disclosure as a Remedy. |
The Limits of Public Intervention -- Policies for Physicians' Conflicts of Interest -- The Job Ahead -- Incentives, Ethics, Law, and Social Policy -- Table of Acronyms -- APPENDICES -- A: The Concept of Conflict of Interest -- B: Note on Physicians' Divided Loyalties -- C: Bioethics and Medical School Ethics Education -- D: The Sources and Data Used -- E: Excerpts from Medical Codes of Ethics -- Notes -- Acknowledgments -- About the Author -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- X. |
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Sommario/riassunto |
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This is the first systematic examination of financial conflicts of interest in medicine. Marc Rodwin examines the evolution of those medical practices and institutions that left the profession open to conflicts of interest and makes clear suggestions for reform. |
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