Attitudes of US neurologists concerning the ethical dimensions of managed care

James L. Bernat, Steven P. Ringel, Barbara G. Vickrey, Christopher Keran

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

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 neurologists (1) generally were willing to follow clinical 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) believed that their professional prerogatives and autonomy were under attack by MCOs; and (6) felt that the good of their patients should not be sacrificed for the good of society.

Original languageEnglish
Pages (from-to)4-13
Number of pages10
JournalNeurology
Volume49
Issue number1
DOIs
StatePublished - Jul 1997
Externally publishedYes

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