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The Ethics of Direct Primary Care

DOI: 10.4236/ojpp.2019.91003, PP. 35-44

Keywords: Direct Primary Care, Medical Ethics, Primary Care, Universal Health Care, Justice

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Abstract:

Direct primary care (DPC) is a market based approach to providing medical care. Patients avoid insurance and directly pay a monthly membership type of fee to physicians for unlimited access. DPC practices have been growing throughout the United States by claiming to be better for patients and primary care physicians. This paper looks into the ethical implications of such practices and explores future moral concerns if DPC continues to expand. Finally, from a societal perspective, regulated universal coverage, as provided in countries such as Japan, is examined as a way to achieve most of the benefits of DPC while avoiding many of the problems.

References

[1]  AAMC (2017). New Research Reaffirms Physician Shortage.
https://news.aamc.org/press-releases/article/workforce_projections_03142017/
[2]  Brekke, G. (2016). Direct Primary Care: Good for What Ails Us. Health Watch, 7-10.
[3]  Chappell, G. E. (2017). Health Care’s Other “Big Deal”: Direct Primary Care Regulation in Contemporary American Health Law. Duke Law Journal, 66, 1331-1365.
[4]  Direct Primary Care Coalition (2013). FAQ on Direct Primary Care.
https://directprimarycare.files.wordpress.com/2013/07/faqs-on-dpc.pdf
[5]  Eskew, P., & Kathleen, K. (2015). Direct Primary Care: Practice Distribution and Costs across the Nation. Journal of the American Board of Family Medicine.
https://www.jabfm.org/content/28/6/793
[6]  Harden, B. (2009). Japanese Health Care System Has Many Advantages, but May Not Be Sustainable. Washington Post.
http://www.washingtonpost.com/wp-dyn/content/article/2009/09/06/AR2009090601630.html
[7]  Himmelstein, D. et al. (2014). A Comparison of Healthcare Administrative Costs in Eight Nations: The US Exceeds All Others by Far. Health Affairs.
https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2013.1327
[8]  Hoff, T. (2018). Direct Primary Care Has Limited Benefits for Physicians and Patients. STAT.
https://www.statnews.com/2018/09/06/direct-primary-care-doctors-patients/
[9]  Klemes, A. et al. (2012). Personalized Preventative Care Leads to Significant Reductions in Hospitalization. The American Journal of Managed Care, 18.
http://www.ajmc.com/journals/issue/2012/2012-12-vol18-n12/personalized-preventive-care-leads-to-significant-reductions-in-hospital-utilization
[10]  Krivich, R. S. (2017). What Closign Mean to the Direct Primary Care Model: Two Prominate Direct Pay Practices Are Shuting Their Doors, Prompting Questions about the Movements Future. Medical Economics, 94, 50-51.
[11]  Medscape (2017). Compensation Report.
http://www.medscape.com/slideshow/compensation-2017-overview-6008547
[12]  NPR (2008). Japanese Pay Less for More Healthcare.
http://www.npr.org/templates/story/story.php?storyId=89626309
[13]  Page, L. (2013). The Rise and Furter Rise of Concierge Medicine. British Medical Journal.
http://www.bmj.com/content/347/bmj.f6465
[14]  Porter, S. (2015). Significant Primary Care, Overall Physician Shortage Predicted by 2025.
http://www.aafp.org/news/practice-professional-issues/20150303aamcwkforce.html
[15]  Ramsey, L. (2017). A New Kind of Doctor’s Office Charges a Monthly Fee and Doesn’t Take Insurance and It Could Be the Future of Medicine. Business Insider.
https://www.businessinsider.com/direct-primary-care-a-no-insurance-healthcare-model-2017-3
[16]  Sinsky, C. et al. (2016). Allocation of Physician Time in Ambletory Practice: A Time and Motion Study in Four Specialties. Annals of Internal Medicine, 165, 753-760.
[17]  WHO (2017). World Health Organization Countries.
http://www.who.int/countries/en/
[18]  Wilper, A. et al. (2009). Health Insurance and Mortality in US Adults. American Journal of Public Health, 99, 2286-2295. https://doi.org/10.2105/AJPH.2008.157685
[19]  Zamosky, L. (2014). Direct-Pay Medical Practices Could Diminish Payer Headaches. Medical Economics.
http://medicaleconomics.modernmedicine.com/medical-economics/content/tags/concierge-service/direct-pay-medical-practices-could-diminish-payer-h

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