The Practice of Uncertainty: Voices of Physicians and Patients in Medical Malpractice Claims
Incorporating in-depth interviews, statistical data, and prior studies, Fielding illustrates how modern medicine is a victim of its own success. The historical record since the early 19th century shows that the rate of malpractice claims has increased as medicine developed new and more complex procedures. Fielding integrates macro- and micro-levels of analysis to explain how scientific medicine is inherently prone to adverse outcomes no matter how competent medical provides are and how patients often feel their personal experiences and views are marginalized during the course of their medical care. This combination makes it more likely that patients will sue when something goes wrong. The so-called medical practice crisis is mostly the result of a system of health care that has promoted professional dominance and high-tech care. This system both shapes and is shaped by the daily clinical context in which patients, physicians, and other providers interact. The key policy implication would be to place greater emphasis on primary care and prevention rather than curative or high-tech interventions. For example, aggressive programs to ensure primary care for all, public health, occupational health, and accident reduction would go a long way to improve both the health of the population and reduce the rate of medical malpractice claims.
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Historical and Social Background
Setting the Contemporary Stage
9 other sections not shown
adverse outcomes allopathic American Medical Association anger angry attorney awards Boston Globe cancer cause Chapter chemotherapy claimants clinical compensation Conran costs court crisis decision defensive medicine diagnosis disease doctors economic example factors failure felt female physicians for-profit hospitals gender happened health care system high-technology hospital iatrogenic ical increase industry injured patients injury interviewed involved Journal of Medicine jury laminectomy lawyers less liability major male and female male physicians malpractice suit Massachusetts medical malpractice claims medical malpractice insurance medical practice monitoring Nathaniel negligence non-claimants obstetricians pain and suffering percent perform Peter Conrad physician-patient plaintiff premiums problems procedures professional dominance pulmonary pulmonary emboli relationships reported result risk sample sicians social sued surgeon surgery system accidents things tients told tort reform treat treatment tumor uncertainty W. I. Thomas women Wright Mills York