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Learning to Live Ungagged

Arch Intern Med. 1998;158:2424-2428.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

WE DISCUSS a case involving end-of-life decisions in a tertiary care facility to illustrate some typical problems involving the disclosure to patients and their families of limitations in their insurance coverage. Hospitals often rely on physician disclosure of medical information to the patient but create mechanisms that monitor the care that are hidden from the patient. Furthermore, the information collected from this monitoring may not be included in the medical record. Such mechanisms may complicate communication because only some parties in the decision-making process have access to the information produced. It is clear that these mechanisms should be amended. We argue for an ethical framework for dealing with this kind of information that has 3 major tenets: (1) all financial information should be routinely disclosed and continually updated during the course of a hospitalization, (2) disclosure of financial information should not be solely or even primarily the responsibility of the . . . [Full Text of this Article]

DISCLOSING SIGNIFICANT BILLING AND REIMBURSEMENT FACTORS: MAKING IT ROUTINE

DISCLOSURE OF FINANCIAL INFORMATION: WHOSE RESPONSIBILITY?

CASE MANAGEMENT: FROM SURVEILLANCE TO COORDINATION AND DECISION MAKING

DISCLOSURE OF BILLING AND REIMBURSEMENT INFORMATION DURING END-OF-LIFE DECISIONS: A KINDER, GENTLER WAY

CONCLUSIONS



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Ethics and Managed Care: Reconstructing a System and Refashioning a Society
Erich H. Loewy and Roberta Springer Loewy
Arch Intern Med. 1998;158(22):2419-2422.
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Ethics and Managed Care: Reconstructing a System and Refashioning a Society
Loewy and Loewy
Arch Intern Med 1998;158:2419-2422.
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