Wells, K. B., Astrachan, B. M., Tischler, G. L., and Unutzer, J. "Issues and Approaches in Evaluating Managed Mental wellness Care." The Milbank Quarterly 73 (Spring 1995), 57-75.
Medical malpractice reform proposals focus some(prenominal) on changes in the substantive law and on procedural requirements for bringing a malpractice action. The substantive reforms seek to establish subject area standards of checkup practice based on pilot programs. chthonian these programs, it shall be a complete defense to any allegation that a party against whom the action is filed was negligent, that in the provision (or the visitation to provide) the services that are the subject of the action, the party followed the appropriate practice guideline.
Weingarten, S., and Ellrodt, A. G.
"Applied health Services Research: Responding to the Changing Health Care Environment." Physician Executive 21 (April 1995), 19-21.
Patients may have different perceptions of a beneficial outcome than do medical professionals. As an example, in one study, researchers found that "a resettlement number of patients with lung cancer would choose radiation therapy over surgery, even though radiation gave them a lower vista of surviving five years. Instead, they had a better chance of surviving one year with radiation than with surgery because of the risk of dying on the operating t adequate to(p). The physicians had assumed, mistakenly it appears, that patients would always opt for a chance for longer life. But some people may elect quality to quantity. Some are more risk slow than others. What one person considers effective or beneficial may be anathema to someone else. Thus, if patients are to be able to make decisions about the kind of care they want, they must be given all the options."
Self-defense is one explanation for the move to develop practice guidelines. "If the physician is not trusted to make love what is best, nor to always choose ethically even if he or she does know, then the social and economic system wi
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