The Trouble with Medicine: Preserving the Trust Between Patients and DoctorsAllen & Unwin, 1998 - 216 pages 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. |
From inside the book
Results 1-5 of 11
Page 4
... increasing anxiety of doctors about where medicine is heading and patients ' dissatisfaction with their health care suggest that we as a community , and I include doc- tors here , need to stop and examine where medicine has come from in ...
... increasing anxiety of doctors about where medicine is heading and patients ' dissatisfaction with their health care suggest that we as a community , and I include doc- tors here , need to stop and examine where medicine has come from in ...
Page 6
... increased from 170 in 1987 to 329 in 1994. At one stage it was believed that New South Wales had the highest number of CT scans per head of population in the world . In the late 1990s Australia has the second highest penetration of CT ...
... increased from 170 in 1987 to 329 in 1994. At one stage it was believed that New South Wales had the highest number of CT scans per head of population in the world . In the late 1990s Australia has the second highest penetration of CT ...
Page 7
... increase because rarely is the use of tech- nology a substitute for traditional ways of treating patients ; it is usually an additional service . Take , for example , a doctor who pre- scribes drugs for a patient with an infection and ...
... increase because rarely is the use of tech- nology a substitute for traditional ways of treating patients ; it is usually an additional service . Take , for example , a doctor who pre- scribes drugs for a patient with an infection and ...
Page 8
... increasing number of women were receiving reports of ' false nega- tive ' mammograms , dispelled the notion that their use provided optimal imaging and low - quality radiation dose.11 We are only at the beginning of the technological ...
... increasing number of women were receiving reports of ' false nega- tive ' mammograms , dispelled the notion that their use provided optimal imaging and low - quality radiation dose.11 We are only at the beginning of the technological ...
Page 9
... increasing use of specialists and sub- specialists has implications for patients in terms of continuity of their care . The development of sub - specialities increases the need to have one practitioner responsible for the care of the ...
... increasing use of specialists and sub- specialists has implications for patients in terms of continuity of their care . The development of sub - specialities increases the need to have one practitioner responsible for the care of the ...
Contents
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 |
Common terms and phrases
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
Popular passages
Page 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.
Page 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.
Page 77 - I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous.
Page 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.
Page 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.
Page 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.
Page 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.
Page 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.
Page 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.
Page 204 - Centers for Disease Control. Update: Acquired immunodeficiency syndrome and human immunodeficiency virus infection among health-care workers.