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Westling CR, Walsh T, Nelson WA. Perceived Ethics Dilemmas Among Pioneer Accountable Care Organizations. J Healthc Manag. 2017;62(1):18-27
Westling, C. R., Walsh, T., & Nelson, W. A. (2017). Perceived Ethics Dilemmas Among Pioneer Accountable Care Organizations. Journal of healthcare management / American College of Healthcare Executives, 62(1), 18-27.
Westling, Craig R, et al. "Perceived Ethics Dilemmas Among Pioneer Accountable Care Organizations." Journal of healthcare management / American College of Healthcare Executives vol. 62,1 (2017): 18-27.
Westling CR, Walsh T, Nelson WA. Perceived Ethics Dilemmas Among Pioneer Accountable Care Organizations. J Healthc Manag. 2017 Jan/Feb;62(1):18-27. PMID: 28319986.
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J Healthc Manag. 2017 Jan/Feb;62(1):18-27.

Perceived Ethics Dilemmas Among Pioneer Accountable Care Organizations.

Journal of healthcare management / American College of Healthcare Executives

Craig R Westling, Thom Walsh, William A Nelson

Affiliations

  1. Craig R. Westling, DrPH, executive director of education, The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, New Hampshire; Thom Walsh, PhD, adjunct faculty, The Dartmouth Institute for Health Policy & Clinical Practice; and William A. Nelson, PhD, HFACHE, director, Health and Values Program, The Dartmouth Institute for Health Policy & Clinical Practice.

PMID: 28319986

Abstract

EXECUTIVE SUMMARY: This study of Pioneer accountable care organizations (ACOs) suggests that the ACO model is creating moral distress for physicians and business leaders in seven critical ways:Despite an overall sense of optimism associated with the ACO model, our research identified an underlying sense of moral distress at most sites. A clear opportunity exists for ACOs to use a more comprehensive, coordinated approach to proactively resolving ethical dilemmas while continuing the march toward risk-based contracts.

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