The Trouble with Medicine: Preserving the Trust Between Patients and Doctors
Allen & 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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The business of medicine
Doctors and their drugs
The incompetent doctor
Part 3Where to Go from Here
What can we
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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.