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 4
... treatment or unethical doctors . Even though this oath was written in the fifth century we still expect doctors to abide by it as if it were written yesterday . The oath's instructions— only to use their knowledge to help patients , not ...
... treatment or unethical doctors . Even though this oath was written in the fifth century we still expect doctors to abide by it as if it were written yesterday . The oath's instructions— only to use their knowledge to help patients , not ...
Side 7
... treating patients ; it is usually an additional service . Take , for example , a doctor who pre- scribes drugs for a patient with an infection and at the same time orders a CT scan . The drugs may cure the patient , making the need for ...
... treating patients ; it is usually an additional service . Take , for example , a doctor who pre- scribes drugs for a patient with an infection and at the same time orders a CT scan . The drugs may cure the patient , making the need for ...
Side 8
... treatment . 12 Manufacturing and marketing medical technologies is big business , involving powerful groups whose influence is hard to resist . Whether or not patients benefit is often a secondary consideration . Many doctors I know are ...
... treatment . 12 Manufacturing and marketing medical technologies is big business , involving powerful groups whose influence is hard to resist . Whether or not patients benefit is often a secondary consideration . Many doctors I know are ...
Side 9
... treat patients . Today it is rare for the majority of GPs to maintain all these skills . Specialists , such as obste- tricians , surgeons , physicians and anaesthetists , have appropriated these activities . The medical profession now ...
... treat patients . Today it is rare for the majority of GPs to maintain all these skills . Specialists , such as obste- tricians , surgeons , physicians and anaesthetists , have appropriated these activities . The medical profession now ...
Side 10
... treatment . Treating patients competently takes time and many GPs are spending less time with patients because , doctors say , it is not financially rewarding . Patients want better conversations with their doctors and more sympathetic ...
... treatment . Treating patients competently takes time and many GPs are spending less time with patients because , doctors say , it is not financially rewarding . Patients want better conversations with their doctors and more sympathetic ...
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.