05246nam 2200829Ia 450 991081225690332120200520144314.00-19-770757-21-280-45119-X0-19-802426-697866104511971-4237-4065-31-60256-040-410.1093/oso/9780195080964.001.0001(CKB)1000000000028768(StDuBDS)AH24085005(SSID)ssj0000200672(PQKBManifestationID)11168410(PQKBTitleCode)TC0000200672(PQKBWorkID)10221107(PQKB)10169770(SSID)ssj0000363062(PQKBManifestationID)12137917(PQKBTitleCode)TC0000363062(PQKBWorkID)10382121(PQKB)10800522(Au-PeEL)EBL241259(CaPaEBR)ebr10086895(CaONFJC)MIL45119(OCoLC)936914064(MiAaPQ)EBC241259(OCoLC)1406788847(StDuBDS)9780197707579(EXLCZ)99100000000002876819960111d1995 uy 0engur|||||||||||txtccrMedicine, money, and morals physicians' conflicts of interest /Marc A. RodwinPaperback ed.New York Oxford University Press19951 online resource (xvii, 411p. ) ill., facsimsOxford scholarship onlinePreviously issued in print: 1993.0-19-508096-3 0-19-509647-9 Includes bibliographical references and index.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 -- 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.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.Oxford scholarship online.Medical ethicsUnited StatesMedical care, Cost ofMoral and ethical aspectsUnited StatesMedical careUnited StatesCost controlPhysiciansProfessional ethicsUnited StatesConflict of interestsMedical ethicsMedical care, Cost ofMoral and ethical aspectsMedical careCost control.PhysiciansProfessional ethicsConflict of interests.174.20973Rodwin Marc A1707430MiAaPQMiAaPQMiAaPQBOOK9910812256903321Medicine, money, and morals4095646UNINA