Bilynsky N S, Vernaglia E R
Boston College, USA.
Psychotherapy (Chic). 1998 Spring;35(1):54-68. doi: 10.1037/h0087839.
With the rise of managed healthcare, psychologists face new challenges to their professional ethics. This article examines the dilemmas posed by managed care in three areas: client care; the handling of patient data; and issues surrounding membership in a managed-healthcare organization. Case examples of ethical dilemmas and strategies for dealing with these challenges are presented. In an attempt to summarize the strategies used to cope with the ethical dilemmas presented in the case examples, global solutions for the ethical practice of psychology in a managed-care framework are also reviewed. These strategies include: understanding managed-care policies, clear communication with the client, additional training, increased advocacy by clinicians, and ultimately, psychologists' involvement in the formation of these organizations.
随着管理式医疗的兴起，心理学家在职业道德方面面临新的挑战。本文探讨了管理式医疗在三个领域所带来的困境：客户护理；患者数据的处理；以及围绕加入管理式医疗组织的问题。文中给出了道德困境的案例示例以及应对这些挑战的策略。为了总结应对案例示例中所呈现的道德困境所采用的策略，还回顾了在管理式医疗框架下心理学道德实践的总体解决方案。这些策略包括：了解管理式医疗政策、与客户进行清晰沟通、额外培训、临床医生加大宣传力度，以及最终心理学家参与这些组织的组建。
