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Cited by 558

The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.

The Impact of Managed Care on Patients' Trust in Medical Care and Their Physicians

Mechanic, David·1996·JAMA: The Journal of the American Medical Association
DOI 10.1001/jama.1996.03530450083048
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Abstract

Social trust in health care organizations and interpersonal trust in physicians may be mutually supportive, but they also diverge in important ways. The success of medical care depends most importantly on patients' trust that their physicians are competent, take appropriate responsibility and control, and give their patients' welfare the highest priority. Utilization review and structural arrangements in managed care potentially challenge trust in physicians by restricting choice, contradicting medical decisions and control, and restricting open communication with patients. Gatekeeping and incentives to limit care also raise serious trust issues. We argue that managed care plans rather than physicians should be required to disclose financial arrangements, that limits be placed on incentives that put physicians at financial risk, and that professional norms and public policies should encourage clear separation of interests of physicians from health plan organization and finance.

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Crossref · 10.1001/jama.1996.03530450083048

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Metadata

Authors
Mechanic, D.
Venue
JAMA: The Journal of the American Medical Association
Publisher
American Medical Association (AMA)
Published
1996-06-05
Volume
275
Issue
21
Pages
1693
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
DOI
10.1001/jama.1996.03530450083048
OpenAlex
W2025877767
Cited by
558
References
15
FWCI
68.45
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The Impact of Managed Care on Patients' Trust in Medical Care and Their Physicians. https://app.cochat.ai/papers/10.1001/jama.1996.03530450083048
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Mechanic, D. (1996). The Impact of Managed Care on Patients' Trust in Medical Care and Their Physicians. JAMA: The Journal of the American Medical Association. https://doi.org/10.1001/jama.1996.03530450083048

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.