Perkoff G T
J Fam Pract. 1986 May;22(5):455-60.
Higher costs, increasing technology, and more physicians are the three predominant influences facing medicine today. These three forces in turn present three groups of ethical issues for physicians: competition and changed fiscal incentives, effects of organized practice on autonomy and confidentiality, and the problems of the interface between primary and consultant physicians. Family physicians must learn to adapt their practices in ethical ways to the rapid changes that are occurring. Thoughtful insight is essential to the process.
更高的成本、不断发展的技术以及更多的医生是当今医学面临的三大主要影响因素。这三大因素进而给医生带来了三组伦理问题：竞争与财政激励的变化、组织化医疗实践对自主性和保密性的影响，以及初级医生与会诊医生之间的衔接问题。家庭医生必须学会以符合伦理道德的方式调整他们的医疗实践，以适应正在发生的快速变化。深入思考对于这个过程至关重要。
