Home Subscribe Login Contact Us Search Journal Articles JHHSA RSS Feed

JHHSA Articles Search Journal Articles

Creating an Ethically-Sound Model of Decision-Making by Managed Care Organizations Providing Care to Children

JHHSA, Vol. 24 No. 3, (2001)

Managed care systems are characterized by a number of
inherent tensions. First, tension exists between the needs of
the patient and the provider who may or may not have a
financial incentive not to refer the patient for subspeciality
care. Second, tension exists between the patient and admin-
istrators of the managed care organization (MCO). Finally.
tension exists between balancing the needs of the patient
with those of the larger needs of society. Provision of care to
one patient could mean that the needs of another patient may
not be met in the future. This article will compare the
Canadian and American approaches to addressing the needs of
chronically-ill children in managed care settings and
propose criteria for making medical decisions affecting this

Subscribers: Login to read this article

Guests: Subscribe to JHHSA, or purchase individual article access for $10.
The article is not available for automatic download. We will email the article to you as a PDF file upon receiving your payment, typically within 24 hours.