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Patients, Not Costs, Come First: Should Doctors Cut Costs at the Bedside?
Author(s) -
Dyer Allen R.
Publication year - 1986
Publication title -
hastings center report
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.515
H-Index - 63
eISSN - 1552-146X
pISSN - 0093-0334
DOI - 10.2307/3562462
Subject(s) - harm , cites , health care , control (management) , quality (philosophy) , conflict of interest , variety (cybernetics) , medical care , psychology , medicine , family medicine , law , political science , social psychology , economics , management , philosophy , epistemology , artificial intelligence , fishery , computer science , biology
In their daily practices, can doctors be both patient advocates and society's agents in rationing costly care? Doctors disagree among themselves. Some argue that patients stand to benefit if doctors lead the movement for cost‐effective care in hospitals, nursing homes, and patients' homes. For others cost‐cutting at the bedside erodes the foundations of the doctor‐patient relationship and compromises the quality of care.