Über dieses Produkt

Product Identifiers

PublisherOxford University Press, Incorporated

ISBN-100195096479

ISBN-139780195096477

eBay Product ID (ePID)59778

Product Key Features

Number of Pages432 Pages

LanguageEnglish

Publication NameMedicine, Money, and Morals : Physicians' Conflicts of Interest

Publication Year1995

SubjectEthics, Physicians

TypeTextbook

Subject AreaMedical

FormatTrade Paperback

Dimensions

Item Height0.8 in

Item Weight12.7 Oz

Item Length8 in

Item Width6.4 in

Additional Product Features

Intended AudienceTrade

Dewey Edition20

Reviews"Excellent...The first systematic examination of financial conflicts of interest in the medical profession. Rodwin's proposals for reform deserve very serious consideration."--The New England Journal of Medicine, "A convincing case for resolving financial conflicts of interest thatcompromise the judgment of doctors and that bias the clinical choices theymake....A constructive contribution--featuring a well-presented analysis as wellas concrete proposals for reform--to the ongoing discussion of our nationalhealth-care crisis."--Kirkus Reviews, "A convincing case for resolving financial conflicts of interest that compromise the judgment of doctors and that bias the clinical choices they make....A constructive contribution--featuring a well-presented analysis as well as concrete proposals for reform--to the ongoing discussion of ournational health-care crisis."--Kirkus Reviews, "Anyone seriously evaluating the various schemes being suggested forreforming American health care policy today must read this book. It shows howmany of the present policies have created serious conflicts of interest fordoctors to the detriment of both their patients' well-being and the cost ofcare, and how both the AMA and present peer review and licensing bodies havefailed to deal adequately with the problem. Rodwin's recommendations for reformare both sound and imaginative."--Eliot Freidson, author of Medical Work inAmerica, "Marc Rodwin's Medicine, Money and Morals provides thorough, thoughtful,and practical analysis of this important problem. Rodwin canvassed not only theacademic, trade, and popular literature on the subject but also comments onproviders of proposed federal rules, investment prospectuses for medical jointventures, and kickback trial records to come up with the most exhaustivecatalogue available of the scope of the conflict-of-interest problem. Theanalyses and recommendations that follow make this book a must-read for thoseseeking to understand the current health care crisis."--Journal of HealthPolitics, Policy and Law, "Medicine, Money, and Morals is about the effects of financial incentives on medical practice. It is not the first work to address these questions...but it is the best...Clearly will be of great use to those who have professional reasons to be interested...An important start to understandingthe fundamental implications that financial incentives and decisions about the shape of the financing system hold for the ties that bind doctors and patients. Anyone practicing medicine or studying the health care system would benefit from its description and its analysis."--Journal of the AmericanMedical Association, "Excellent...The first systematic examination of financial conflicts of interest in the medical profession. Rodwin's proposals for reform deserve very serious consideration."--The New England Journal of Medicine "Medicine, Money, and Moralsis about the effects of financial incentives on medical practice. It is not the first work to address these questions...but it is the best...Clearly will be of great use to those who have professional reasons to be interested...An important start to understanding the fundamental implications that financial incentives and decisions about the shape of the financing system hold for the ties that bind doctors and patients. Anyone practicing medicine or studying the health care system would benefit from its description and its analysis."--Journal of the AmericanMedical Association "Rodwin painstakingly scrutinizes medical practice in the USA, giving a fascinating insight into the dilemmas facing patients when medical decisions can affect the doctor's economic well being, the success or otherwise of a practice, or the survival of a hospital."--The Lancet "Provides thorough, thoughtful, and practical analysis of this important problem. Rodwin canvassed not only the academic, trade, and popular literature on the subject but also comments on providers of proposed federal rules, investment prospectuses for medical joint ventures, and kickback trial records to come up with the most exhaustive catalogue available of the scope of the conflict-of-interest problem. The analyses and recommendations that follow make this book a must-read for those seeking to understand the current health care crisis."--Journal of Health Politics, Policy and Law "A theoretically sophisticated, empirically detailed account of conflicts of interest and the physician's role....An impressive piece of work--broad in its scope, clear in its objectives, confident of its findings, certain of the policy implications."--The Journal of Legal Medicine, "A theoretically sophisticated, empirically detailed account of conflicts of interest and the physician's role....An impressive piece of work--broad in its scope, clear in its objectives, confident of its findings, certain of the policy implications."--The Journal of Legal Medicine, "A subtle and systematic analysis of the many forms these conflicts take, the alternative policy responses that might eliminate or limit the conflicts, and the ethical and professional values at stake in these policy choices. I expect this will be the best book on the subject for many years tocome."--Dan W. Brock, Director, Center for Biomedical Ethics, Brown University, Medicine, Money and Morals carefully documents how medicine has becomecommercialized, and how medical ethics are being replaced by business ethics.But caveat emptor should not be part of the doctor-patient relationship, and inthis timely book Rodwin properly challenges us to confront financial conflictsof interest that can harm patients, physicians, and society alike."--George J.Annas, Director, Law, Medicine and Ethics Program, Boston University Schools ofMedicine and Public Health, "Carefully documents how medicine has become commercialized, and how medical ethics is being replaced by business ethics. But caveat emptor should not be part of the doctor-patient relationship, and in this timely book Rodwin properly challenges us to confront financial conflicts of interestthat can harm patients, physicians, and society alike."--George J. Annas, Boston University, "Rodwin makes a compelling case for prohibiting the more extreme forms ofconflicts of interest....[He] suggests several ways of regulating the practiceof medicine, either through federal authority or by initiating reforms in healthcare institutions."--Chicago Tribune, "Excellent...The first systematic examination of financial conflicts of interest in the medical profession. Rodwin's proposals for reform deserve very serious consideration."-- The New England Journal of Medicine " Medicine, Money, and Morals is about the effects of financial incentives on medical practice. It is not the first work to address these questions...but it is the best...Clearly will be of great use to those who have professional reasons to be interested...An important start to understanding the fundamental implications that financial incentives and decisions about the shape of the financing system hold for the ties that bind doctors and patients. Anyone practicing medicine or studying the health care system would benefit from its description and its analysis."-- Journal of the American Medical Association "Rodwin painstakingly scrutinizes medical practice in the USA, giving a fascinating insight into the dilemmas facing patients when medical decisions can affect the doctor's economic well being, the success or otherwise of a practice, or the survival of a hospital."-- The Lancet "Provides thorough, thoughtful, and practical analysis of this important problem. Rodwin canvassed not only the academic, trade, and popular literature on the subject but also comments on providers of proposed federal rules, investment prospectuses for medical joint ventures, and kickback trial records to come up with the most exhaustive catalogue available of the scope of the conflict-of-interest problem. The analyses and recommendations that follow make this book a must-read for those seeking to understand the current health care crisis."-- Journal of Health Politics, Policy and Law "A theoretically sophisticated, empirically detailed account of conflicts of interest and the physician's role....An impressive piece of work--broad in its scope, clear in its objectives, confident of its findings, certain of the policy implications."-- The Journal of Legal Medicine, "This book is a skillful political analysis of the problems caused byconflicts of interest in the world of medicine. Rodwin accurately explains whythe medical profession has been unable to resolve such conflicts in the past andwhy it is unlikely to do much better in the future. He draws lessons fromconflicts of interest faced by government officials, business professionals, andlawyers. Rodwin's analysis would be the scholarly starting point for furtherdiscussion of physicians' conflicts of interest. His book is an original andtimely analysis of what needs to change in American medical care and providesuseful suggestions on how to begin the task of reducing our deepening conflictsof interest."--Ted Marmor, Author of The Politics of Medicare, "Excellent....the first systematic examination of financial conflicts ofinterest in the medical profession. Rodwin's proposals for reform deserve veryserious consideration." --New England Journal of Medicine, "Rodwin painstakingly scrutinizes medical practice in the USA, giving a fascinating insight into the dilemmas facing patients when medical decisions can affect the doctor's economic well being, the success or otherwise of a practice, or the survival of a hospital."--The Lancet, "Provides thorough, thoughtful, and practical analysis of this important problem. Rodwin canvassed not only the academic, trade, and popular literature on the subject but also comments on providers of proposed federal rules, investment prospectuses for medical joint ventures, and kickbacktrial records to come up with the most exhaustive catalogue available of the scope of the conflict-of-interest problem. The analyses and recommendations that follow make this book a must-read for those seeking to understand the current health care crisis."--Journal of Health Politics, Policy andLaw, "Any American concerned about skyrocketing health care costs will want toread this book. Understanding that some physicians earn disgraceful profitsthrough self-referrals, and learning how to stop them, is one important key togetting health costs under control."--Congressman Pete Stark, Chairman of theHouse Ways and Means Subcommittee on Health, "This book is a skillful political analysis of the problems caused by conflicts of interest in the world of medicine. Rodwin accurately explains why the medical profession has been unable to resolve such conflicts in the past and why it is unlikely to do much better in the future. He drawslessons from conflicts of interest faced by government officials, business professionals, and lawyers. Rodwin's analysis would be the scholarly starting point for further discussion of physicians' conflicts of interest. His book is an original and timely analysis of what needs to change in Americanmedical care and provides useful suggestions on how to begin the task of reducing our deepening conflicts of interest."--Ted Marmor, Author of The Politics of Medicare, "Excellent...The first systematic examination of financial conflicts of interest in the medical profession. Rodwin's proposals for reform deserve very serious consideration."--The New England Journal of Medicine "Medicine, Money, and Morals is about the effects of financial incentives on medical practice. It is not the first work to address these questions...but it is the best...Clearly will be of great use to those who have professional reasons to be interested...An important start to understanding the fundamental implications that financial incentives and decisions about the shape of the financing system hold for the ties that bind doctors and patients. Anyone practicing medicine or studying the health care system would benefit from its description and its analysis."--Journal of the American Medical Association "Rodwin painstakingly scrutinizes medical practice in the USA, giving a fascinating insight into the dilemmas facing patients when medical decisions can affect the doctor's economic well being, the success or otherwise of a practice, or the survival of a hospital."--The Lancet "Provides thorough, thoughtful, and practical analysis of this important problem. Rodwin canvassed not only the academic, trade, and popular literature on the subject but also comments on providers of proposed federal rules, investment prospectuses for medical joint ventures, and kickback trial records to come up with the most exhaustive catalogue available of the scope of the conflict-of-interest problem. The analyses and recommendations that follow make this book a must-read for those seeking to understand the current health care crisis."--Journal of Health Politics, Policy and Law "A theoretically sophisticated, empirically detailed account of conflicts of interest and the physician's role....An impressive piece of work--broad in its scope, clear in its objectives, confident of its findings, certain of the policy implications."--The Journal of Legal Medicine, "Marc Rodwin's book is just what the important debate about physicians'conflicts of interest needs and has not had until now--a subtle and systematicanalysis of the many forms these conflicts take, the alternative policyresponses that might eliminate or limit the conflicts, and the ethical andprofessional values at stake in these policy choices. With the organization andfinancing of health care undergoing rapid and profound change, Rodwin'scomprehensive view will be indispensable for the daunting task he sets us of'designing new policies and institutions that hold physicians accountable topatients.' I expect this will be the best book on the subject for many years tocome."--Dan W. Brock, Director, Center for Biomedical Ethics, BrownUniversity, "Well-documented, closely argued....While Clinton administration planningfor a thorough revision of health care gives Rodwin's effort added relevance,readers who have been, are, or will be patients should at least becomeacquainted with Medicine, Money and Morals. Those closely involved in any aspectof its subject should study it thoroughly."--Booklist, "Excellent...The first systematic examination of financial conflicts of interest in the medical profession. Rodwin's proposals for reform deserve very serious consideration."--The New England Journal of Medicine"Medicine, Money, and Morals is about the effects of financial incentives on medical practice. It is not the first work to address these questions...but it is the best...Clearly will be of great use to those who have professional reasons to be interested...An important start to understanding the fundamental implications that financial incentives and decisions about the shape of the financing system hold for the ties that bind doctors and patients. Anyone practicing medicine or studying the health care system would benefit from its description and its analysis."--Journal of the American Medical Association"Rodwin painstakingly scrutinizes medical practice in the USA, giving a fascinating insight into the dilemmas facing patients when medical decisions can affect the doctor's economic well being, the success or otherwise of a practice, or the survival of a hospital."--The Lancet"Provides thorough, thoughtful, and practical analysis of this important problem. Rodwin canvassed not only the academic, trade, and popular literature on the subject but also comments on providers of proposed federal rules, investment prospectuses for medical joint ventures, and kickback trial records to come up with the most exhaustive catalogue available of the scope of the conflict-of-interest problem. The analyses and recommendations that follow make this book a must-read for those seeking to understand the current health care crisis."--Journal of Health Politics, Policy and Law"A theoretically sophisticated, empirically detailed account of conflicts of interest and the physician's role....An impressive piece of work--broad in its scope, clear in its objectives, confident of its findings, certain of the policy implications."--The Journal of Legal Medicine

IllustratedYes

Dewey Decimal174/.2/0973

Table Of Content1. The Problem and the Profession's response: Physicians' conflicts of interest; The medical profession's response2. Current Problems and Institutional Responses: Incentives to increase services: The range of practices; The dangers of incentives to increase services and the ineffectiveness of current responses; Incentives to decrease services in HMOs and hospitals; The dangers of incentives to decrease services and the ineffectiveness of current responses3. Inferences for Policy: Fiduciary theory and the professions: Regulation of civil servants, business professionals and lawyers; What needs to be done?4. Appendices

SynopsisPhysicians' financial conflicts of interest are likely to become a health policy issue. This book explains what these conflicts of interest are, how they have changed over the past century, what the organized medical profession has done about them in the past and how these problems are dealt with now by physicians and society. It also shows how such problems are dealt with in other fields and what options society has in trying to address these issues in the future., Marc A. Rodwin draws on his own experience as a health lawyer--and his research in health ethics, law, and policy--to reveal how financial conflicts of interest can and do negatively affect the quality of patient care. He shows that the problem has become worse over the last century and provides many actual examples of how doctors' decisions are influenced by financial considerations. We learn how two California physicians, for example, resumed referrals to Pasadena General Hospital only after the hospital started paying $70 per patient (their referrals grew from 14 in one month to 82 in the next). As Rodwin writes, incentives such as this can inhibit a doctor from taking action when a hospital fails to provide proper service, and may also lead to the unnecessary hospitalization of patients. We also learn of a Wyeth-Ayerst Labs promotion in which physicians who started patients on INDERAL (a drug for high blood pressure, angina, and migraines) received 1000 mileage points on American Airlines for each patient (studies show that promotions such as this have a direct effect on a doctor's choice of drug). Rodwin reveals why the medical community has failed to regulate conflicts of interest: peer review has little authority, state licensing boards are usually ignorant of abuses, and the AMA code of ethics has historically been recommended rather than required. He examines what can be learned from the way society has coped with the conflicts of interest of other professionals --lawyers, government officials, and businessmen--all of which are held to higher standards of accountability than doctors. And he recommends that efforts be made to prohibit and regulate certain kinds of activity (such as kickbacks and self-referrals), to monitor and regulate conduct, and to provide penalties for improper conduct. Our failure to face physicians' conflicts of interest has distorted the way medicine is practiced, compromised the loyalty of doctors to patients, and harmed society, the integrity of the medical profession, and patients. For those concerned with the quality of health care or medical ethics, Medicine, Money and Morals is a provocative look into the current health care crisis and a powerful prescription for change., Medicine, Money and Morals explores physicians' financial conflicts of interest. These conflicts are described and explained with details of how they have changed overtime and how professionals and society have addressed them in the past. Parallels are drawn with conflicts of interest in other professions including lawyers, public officials, and financial advisors. It is shown that these problems are getting worse and how they affect patients, society in general, and the doctors themselves. Based on his own experience as a health lawyer, along with investigative reporting and a careful study of health ethics, law and policy, the author reveals the full dimensions of the problem. This controversial book will be of interest to all physicians, public health officials, and medical ethicists as well as patients themselves. become a health policy issue. This book explains what these conflicts of interest are, how they have changed over the past century, what the organized medical profession has done about them in the past and how these problems are dealt with now by physicians and society. It also shows how such problems are dealt with in other fields and what options society has in trying to address these issues in the future.

Bild 1 von 1

Medicine, Money, and Morals : Physicians' Conflicts of Interest (1995, Trade Paperback)

Über dieses Produkt

Product Identifiers

Product Key Features

Dimensions

Additional Product Features

Alle Angebote für dieses Produkt

Auch interessant