Management Issues: Ethics and Clinical Productivity Pressures Under Managed Care The multiple impacts of managed care continue to radiate with increasing rapidity and severity throughout the professions of speech-language pathology and audiology. Consequences which were initially felt primarily in healthcare environments, especially hospitals, are now being experienced in all practice environments including, for example, public schools, Head Start programs, ... Article
Article  |   October 1997
Management Issues: Ethics and Clinical Productivity Pressures Under Managed Care
Author Affiliations & Notes
  • Bernard P. Henri
    Cleveland Hearing & Speech Center
  • Brooke Hallowell
    Ohio University, Athens
Article Information
Articles
Article   |   October 1997
Management Issues: Ethics and Clinical Productivity Pressures Under Managed Care
SIG 11 Perspectives on Administration and Supervision, October 1997, Vol. 7, 8-10. doi:10.1044/aas7.3.8
SIG 11 Perspectives on Administration and Supervision, October 1997, Vol. 7, 8-10. doi:10.1044/aas7.3.8
The multiple impacts of managed care continue to radiate with increasing rapidity and severity throughout the professions of speech-language pathology and audiology. Consequences which were initially felt primarily in healthcare environments, especially hospitals, are now being experienced in all practice environments including, for example, public schools, Head Start programs, rehabilitation centers, and specialized centers for persons with developmental disabilities. Anecdotal accounts of dramatically decreasing revenues, staff layoffs, department downsizing and closings are becoming increasingly real to all of us. Survivors of these actions are confronted with demands for increased productivity, both clinical and financial. These demands, in turn, often precipitate serious ethical dilemmas, particularly in new clinicians.
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