Riverview Community Hospital A assessing hospital performance -- 2. Chesapeake health plans assessing HMO performance -- Managerial accounting.
Physician self referral occurs when physicians refer their patients for tests or treatments to medical centers in which the referring physician has at least a partial financial interest.
The referring physician does not provide direct patient services at the center in question, but does share in the revenue and profits of the center. Patients may be aware or unaware of the fact that their physicians own the facility to which they have been referred. The propriety of physician self referral has been questioned by many.
In however, the House of Delegates of the American Medical Association adopted a more lenient policy which allows physicians to make such referrals if patients are informed of the physicians financial interest and of any alternative facilities for testing or treatment. Clearly, physicians referral is a contentious-topic This essay will present an ethical evaluation of the issue in the context of reimbursement of physicians for the services when they offer to the general public.
Principles Professional persons render services which promote the common good of the community, or they perform services which promote to the private good of individuals.
For example, police personnel are committed to maintaining peace and justice in the life of a community. This service benefits all in the community. People in the community receive police protection based upon their needs, not upon their ability to pay. On the other hand, stock brokers perform a private service.
They help people who can pay for the service to make a profit on their investments. Stock brokers do not help clients invest money unless the clients are able to pay for their services.
People who perform a public service related to the common good are compensated by the community for whom they perform the service. In general, activities associated with the common good of the community are not considered as for-profit endeavors. The society limits or eliminates for-profit activity in this section of community life.
The police force of a city for example, is not allowed to set up private sources of revenue associated with their police work. If they do, the revenue is considered graft.
On the other hand, services performed in the private sector are usually considered to be for-profit endeavors. People who perform a private service are usually compensated in direct relationship to the services rendered. Their compensation may vary greatly depending upon their ability to offer adequately the service in question.
If the stock broker helps people to increase their investments, she makes more money. Where do physicians fit in this division of public and private service to the community? Are they involved in a service of the public or private nature? This depends upon the way in which health care is envisioned and managed in a particular country.
In most industrialized countries in the world, health care is considered a public service relating to the common good of the country.
In these countries, physicians receive a stipend from the community which they serve. Usually, physicians have a definite number of people to care for a panel and they are remunerated whether or not the people request medical care.
In this system, physicians are considered to be public servants of the community; not private entrepreneurs. In Canada for example, physicians receive a stipend from the federal or provincial government and are not allowed to engage in a for-profit practice. Moreover, in countries in which health care is considered as a service related to the common good the health care facilities are part of the public system of health care.You must also consider qualitative and ethical issues.
Often times the group dynamics can achieve charity patients, and offering financial incentives for physician referrals. Learn about quality measures, payer incentives for performance and balance score cards. Ethics Case 8 - Westwood Imaging Centers - Financial Incentives to.
Westwood Imaging Centers payment for referrals. "@en; schema:description " Financial accounting. 1. Riverview Community Hospital (A) assessing hospital performance -- 2. Chesapeake health plans assessing HMO performance -- Managerial accounting.
3. . The principles of beneficence and nonmaleficence and respect for autonomy are important factors in quality of life issues True The imaging professional biases might affect his or her evaluation of the patient's quality of life. Having the Ethics Committee review a case is significant, he said, because the ACR is the leading voice for ethical behavior within radiology.
But, its options for disciplining radiologists who have acted inappropriately are limited. The propriety of physician self referral has been questioned by many.
(1) In , the Council of Judicial Affairs of the American Medical Association stated that physicians should not practice self referral.
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