Care and Managed Care: Pyschological Factors Relevant to Healthcare and Its Delivery

  • David R. Fleisher
Part of the Philosophy and Medicine book series (PHME, volume 76)


What is the essence of clinical caring, how can its value be determined, and what are its origins? Caring for a patient is a bit like loving someone. In both cases, the wellbeing of the person who is loved or the patient who is cared for is felt to be overridingly important. Good clinical care goes beyond the diagnostic services, prescriptions or operations that the patient is billed for. It includes services done free of charge for the satisfaction of easing the patients’ distress or enhancing their sense of security or optimism while they cope with illness. Love and clinical caring are not commodities to which market values have relevance. They have value without price. Whereas a person in the business of selling services is motivated by the prospect of making a profit, the altruistic clinician is motivated by the desire to help the patient. He or she is paid to be sustained, albeit comfortably, not to be made rich (Thomas, 1983, pp. 1–18).


Manage CARE Attachment Style Attachment Theory Personal Physician Social Asset 
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© Springer Science+Business Media Dordrecht 2002

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  • David R. Fleisher

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