Motivation and Emotion

, Volume 19, Issue 3, pp 221–236 | Cite as

The current environment for medical decision making: Alternative efficiency concepts and decision motivation

  • John M. Kuder


Health services delivery is rapidly changing in the U.S. and along with it the incentives and motives for making decisions about the use of services. This paper discusses the economic criteria for making good decisions from both individual and social perspectives. The position is taken that individual criteria for decision-making efficiency in health services is quite different from social efficiency criteria but the two perspectives can be viewed as complementary. These criteria are used to examine current developments in health services, including aggressively competitive managed care. The analysis concludes that current directions may be in conflict with both social and individual efficiency. Alternative public policies are required to alter motives and incentives such that decisions better meet the complementary efficiency criteria.


Health Service Service Delivery Current Direction Medical Decision Good Decision 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Plenum Publishing Corporation 1995

Authors and Affiliations

  • John M. Kuder
    • 1
  1. 1.Sloan Program in Health Services AdministrationCornell UniversityIthaca

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