Survey of Ophthalmology
Volume 48, Issue 3 , Pages 362-365, May 2003

Maloccurrence in Oculoplastic Surgery Related to the Managed Care Environment☆

  • Joshua Frankel, MD

      Affiliations

    • Corresponding Author InformationReprint address: Joshua Frankel, MD, 601 Wyoming Ave, Kingston, PA 18704

Eye Care Specialists of NEPA, Kingston, Pennsylvania, USA

EDWARD RAAB, EDITOR

Abstract 

Conflicts between specialties abound in problems of the periorbita with different specialties claiming expertise in this area. These conflicts include both the diagnosis and the treatment of oculoplastic problems. Cases are presented in which such conflicts have arisen leading to less than optimal care for the patients. Engendering these conflicts are the Managed Care fiats of both insurance companies and hospital territorial conflicts. Ideas are presented for the ethical resolution of both the physician conflicts and for the recognition that managed care induced conflicts lead ultimately to less than optimal care.

Keywords:  absent diagnosis, canaliculus lacerations, managed care, oculoplastics, treatment inadequacies

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☆ The author reported no proprietary or commercial interest in any product mentioned or concept discussed in this article.

PII: S0039-6257(03)00026-2

doi:10.1016/S0039-6257(03)00026-2

Survey of Ophthalmology
Volume 48, Issue 3 , Pages 362-365, May 2003

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