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"Patient dumping." "DRG-transfer." Unfortunately, few readers are ignorant of the meaning of these terms. In an extraordinarily short time, the practice of medicine has gone from doing the most for the patient, regardless of cost, to doing what one can under current fiscal restraints. This has created a dilemma in which what is good for the individual patient may be at odds with what is good for the institution. At the heart of this dilemma is the health care administrator who, as the author says, "is the organization's conscience." Darr argues eloquently that the institution must have an organizational philosophy,
Ethics in Health Services Management.. Ann Intern Med. ;107:948–949. doi: 10.7326/0003-4819-107-6-948_3
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Published: Ann Intern Med. 1987;107(6):948-949.
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