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Jekyll or Hyde?

Carolyn M. Clancy, MD; Howard Brody, MD, PhD

JAMA. 1995;273(4):338-339.

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

The topic most discussed by physicians today is the increasing percentage of US health care being taken over by managed care organizations.¹ While physicians in practice are struggling to interpret the requirements and implications of contracts with emerging or established health care systems,² many academic medical centers have also joined the "dance of vertical integration."^3,4 What has not emerged from the ofttimes emotional discussions is a cogent examination of the impact of the transformation of medical practice from a cottage industry to a corporate enterprise on how we deliver care, assess and improve the quality of care, and educate future physicians. It is an urgent matter, then, for the medical profession to address the ethical principles that will preserve a sound physician-patient relationship within this rapidly changing environment.

See also pp 323 and 330.

To address the ethics of the physician-patient relationship in managed care realistically and . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of Primary Care, Agency for Health Care Policy and Research, Rockville, Md (Dr Clancy), and the Department of Family Practice, Michigan State University, East Lansing (Dr Brody).

Footnotes
The opinions expressed are the authors and do not represent the position of the Agency for Health Care Policy and Research, the US Public Health Service, or the Department of Health and Human Services.

Corresponding author: Carolyn M. Clancy, Division of Primary Care, Agency for Health Care Policy and Research, EOC 502, 2101 E Jefferson St, Rockville, MD 20852.

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