A research report submitted to the Faculty of Health Sciences, University of the
Witwatersrand, Johannesburg, in partial fulfillment of the requirements for the degree
of MSc (Med) in Bioethics & Health Law
Johannesburg, May 2017 / Spiraling health care costs have posed a threat to access to health care for scheme
members, as more has to be done with even less. Managed care programmes were
introduced to control the health care costs by reducing medical doctors autonomy. My
aim was to ascertain the extent to which the managed care processes impede medical
doctors’ autonomy. Principled conditions were identified where the limitation of
doctors’ autonomy as a result of managed care could be morally justified which
include where implementation would result in a just distribution of resources and a
limitation of medically futile treatment.
However principled conditions where these managed care tools would not ethically be
justified included where they would result in adverse patient outcomes, where they
result in a loss of medical doctors morale or where they result in reduced trust in the
patient doctor relationship. / MT2017
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:wits/oai:wiredspace.wits.ac.za:10539/23141 |
| Date | January 2017 |
| Creators | Lengana, Thabo |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | application/pdf |
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