Informed consent to rationing decisions by managed care organizations

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dc.contributor.advisorEngelhardt, H. Tristram, Jr.
dc.creatorDorsett, Jeremy Robert
dc.date.accessioned2009-06-04T06:38:39Z
dc.date.available2009-06-04T06:38:39Z
dc.date.issued2002
dc.description.abstractIt has been argued that the rationing of medical resources effected by managed care organizations violates the philosophical doctrine of informed consent, which is linked to the principle of respect for patient autonomy. Two models which purport to protect patient autonomy, in consonance with the doctrine of informed consent, and in the face of institutional rationing decisions, via prior disclosure, are examined. It is found that the 'prior global consent' model is less effective at preserving patient autonomy through prior disclosure than is the 'waiver of informed consent' model. The immediate conclusion for managed care is that institutional rationing need not be antithetical to the doctrine of informed consent. The broader philosophical conclusion is that the hierarchical notion of autonomy espoused by the 'waiver' model is, in some cases, more effective than the integrated notion espoused by the 'global consent' model.
dc.format.extent100 p.en_US
dc.format.mimetypeapplication/pdf
dc.identifier.callnoTHESIS PHIL. 2002 DORSETT
dc.identifier.citationDorsett, Jeremy Robert. "Informed consent to rationing decisions by managed care organizations." (2002) Master’s Thesis, Rice University. <a href="https://hdl.handle.net/1911/17502">https://hdl.handle.net/1911/17502</a>.
dc.identifier.urihttps://hdl.handle.net/1911/17502
dc.language.isoeng
dc.rightsCopyright is held by the author, unless otherwise indicated. Permission to reuse, publish, or reproduce the work beyond the bounds of fair use or other exemptions to copyright law must be obtained from the copyright holder.
dc.subjectPhilosophy
dc.subjectHealth care management
dc.titleInformed consent to rationing decisions by managed care organizations
dc.typeThesis
dc.type.materialText
thesis.degree.departmentPhilosophy
thesis.degree.disciplineHumanities
thesis.degree.grantorRice University
thesis.degree.levelMasters
thesis.degree.nameMaster of Arts
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