What question did this study set out to answer?

To evaluate whether an economic market model or a political democratic model offers the most appropriate framework of accountability for managed care organizations.

February 1, 1997Journal of Health Politics Policy and Law

Preserving Community in Health Care

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Authors

EEEzekiel J. EmanuelUniversity of Pennsylvania LEL L EmanuelNorthwestern University

Discussion

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Implication

Policy analysis demonstrates the value of political accountability in managed care organizations, indicating that civic voice better promotes health equity.

Key Points

To evaluate whether an economic market model or a political democratic model offers the most appropriate framework of accountability for managed care organizations.
Conducted a conceptual policy analysis examining traditional professional, economic, and political models of institutional accountability.
Assessed mechanisms of consumer exit versus democratic voice across domains of justice, decision-making efficiency, medical ethics, and power distribution.
The economic model treats medicine as a commodity driven by consumer exit, which strains individual decision-making, sustains power imbalances, and compromises health care as a nonmarket good.
The political model treats health care as a public good anchored in citizen voice, effectively distributing power between patients and clinicians while framing care delivery around social justice.
Institutional design can mitigate the political model's risks of inefficiency or value conflicts, providing a robust framework for resolving complex resource allocations in competitive markets.

Cite This Study

Emanuel et al. (1997) studied this question.

synapsesocial.com/papers/6a0ff6dad13714ec96fee91b https://doi.org/10.1215/03616878-22-1-147

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Implication

Policy analysis demonstrates the value of political accountability in managed care organizations, indicating that civic voice better promotes health equity.

Preserving Community in Health Care

Discussion

Member takes

Implication

Key Points

Cite This Study

Preserving Community in Health Care

Discussion

Member takes

Implication

Key Points

Cite This Study

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Also Consider