The Trouble with Medicine: Preserving the Trust Between Patients and DoctorsAllen & Unwin, 1998 - 216 sider This study examines the changes in medical practice, such as the effects of entrepreneurial medicine, pharmaceutical and other overservicing, and the potential for incompetence, misconduct, abuse and fraud. The author also suggests ways forward for patients, health professionals and policy-makers. |
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Side 5
... pharmaceutical companies and health corporations , who are profit driven . There are insurers and govern- ments , who pay for health services and are driven by cost . containment . And there are the patients , who want doctors to put ...
... pharmaceutical companies and health corporations , who are profit driven . There are insurers and govern- ments , who pay for health services and are driven by cost . containment . And there are the patients , who want doctors to put ...
Side 10
... pharmaceutical indus- try . No area of medicine is untouched by the pharmaceutical industry : its influence extends from sponsorship for continuing edu- cation programs for doctors to investments worth millions in research and ...
... pharmaceutical indus- try . No area of medicine is untouched by the pharmaceutical industry : its influence extends from sponsorship for continuing edu- cation programs for doctors to investments worth millions in research and ...
Side 11
... pharmaceutical sales for OECD countries accounted for 7 to 26 per cent of all health services expenditure . 18 Ten years ago GPs wrote a prescription in 70 per cent of all patient contacts.19 Today writing a prescription remains the ...
... pharmaceutical sales for OECD countries accounted for 7 to 26 per cent of all health services expenditure . 18 Ten years ago GPs wrote a prescription in 70 per cent of all patient contacts.19 Today writing a prescription remains the ...
Side 12
... pharmaceutical industry is aware of the medical profession's increas- ing concerns about its influence on doctors ' prescribing practices . Another reason for targeting patients is the large quantity of new drugs similar to brand - name ...
... pharmaceutical industry is aware of the medical profession's increas- ing concerns about its influence on doctors ' prescribing practices . Another reason for targeting patients is the large quantity of new drugs similar to brand - name ...
Side 24
... pharmaceutical companies are some examples . Many doctors are finding it difficult to treat their patients properly , to maintain a trusting relationship with them and at the same time to conduct their practice as a business . Having ...
... pharmaceutical companies are some examples . Many doctors are finding it difficult to treat their patients properly , to maintain a trusting relationship with them and at the same time to conduct their practice as a business . Having ...
Indhold
Sexual misconduct | 37 |
Scientific misconduct | 77 |
Doctors and their drugs | 86 |
The incompetent doctor | 137 |
Part 3Where to Go from Here | 155 |
What can we | 169 |
Notes | 182 |
Index | 209 |
Almindelige termer og sætninger
allegations American antibiotics antipsychotic Australian Doctor Australian Medical Australian Medical Association benzodiazepines cent Committee competence Complaints Commission concerns conflicts of interest defensive medicine developed diazepines doctor-patient relationship doctors drugs evidence evidence-based medicine examination experience Gallo Health Care Complaints Health Insurance Commission health-care workers hepatitis hospitals Human Radiation Experiments Ibid infection control infection-control institutions investigation involved JAMA Journal knowledge McBride Medical Association medical boards Medical Council medical ethics medical negligence Medical Practice Act medical profession medical research Medicare medicine ment NHMRC nursing homes over-servicing Physicians practice guidelines prescribing prescription problems procedures psychiatrist recognised refer patients registration regulation require doctors responsible risks scientific fraud scientific misconduct sexual misconduct skills South Wales Medical specialists surgeons surgery surgical Sydney tests therapy tion tors transmission treat treatment trust unethical United Kingdom vancomycin virus Wales Medical Tribunal
Populære passager
Side 57 - Into whatever houses I enter, I will go into them for the benefit of the sick, and will abstain from every voluntary act of mischief and corruption ; and further, from the seduction of females or males, of freemen and slaves.
Side 157 - Whatever, in connection with my professional practice, or not in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret. While I continue to keep this Oath unviolated, may it be granted to me to enjoy life and the practice of the art, respected by all men, in all times. But should I trespass and violate this Oath, may the reverse be my lot.
Side 77 - I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous.
Side 39 - In such an economy, there is one and only one social responsibility of business — to use its resources and engage in activities designed to increase its profits so long as it stays within the rules of the game, which is to say, engages in open and free competition, without deception or fraud.
Side 62 - He must recognize that the patient's falling in love is induced by the analytic situation and is not to be ascribed to the charms of his person, that he has no reason whatever therefore to be proud of such a ' conquest ', as it would be called outside analysis.
Side 167 - Of differences between physicians. § 1. Diversity of opinion and opposition of interest may, in the medical as in other professions, sometimes occasion controversy and even contention. Whenever such cases unfortunately occur, and cannot be immediately terminated, they should be referred to the arbitration of a sufficient number of physicians or a court-medical.
Side 22 - By contrast, people who do not trust one another will end up cooperating only under a system of formal rules and regulations, which have to be negotiated, agreed to, litigated, and enforced, sometimes by coercive means. This legal apparatus, serving as a substitute for trust, entails what economists call "transaction costs.
Side 167 - ... of such differences nor the adjudication of the arbitrators should be made public, as publicity in a case of this nature may be personally injurious to the individuals concerned, and can hardly fail to bring discredit on the faculty.
Side 37 - The next steps are to expand presentations to the larger general medical journals, such as the New England Journal of Medicine and the Journal of the American Medical Association, and to improve ways for communicating results with the patient population.
Side 204 - Centers for Disease Control. Update: Acquired immunodeficiency syndrome and human immunodeficiency virus infection among health-care workers.