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 1-4 of 4
Page 5
... nurses who , like doctors , are health professionals in their own right . There are entre- preneurs , such as the pharmaceutical companies and health corporations , who are profit driven . There are insurers and govern- ments , who pay ...
... nurses who , like doctors , are health professionals in their own right . There are entre- preneurs , such as the pharmaceutical companies and health corporations , who are profit driven . There are insurers and govern- ments , who pay ...
Page 12
... nurses and doctors in the United States , was established to identify those drugs most commonly implicated in prescribing errors . A Malaysian study showed that 60 per cent of pharmacists thought that 12 MEDICINE TODAY.
... nurses and doctors in the United States , was established to identify those drugs most commonly implicated in prescribing errors . A Malaysian study showed that 60 per cent of pharmacists thought that 12 MEDICINE TODAY.
Page 21
... suffered a 6 per cent drop from 1996 in the community rating of their ethics and honesty . In approval doctors ranked third at 66 per cent , behind nurses ( 86 per cent ) and pharmacists ( 80. WHY IS MEDICINE IN TROUBLE ? 21.
... suffered a 6 per cent drop from 1996 in the community rating of their ethics and honesty . In approval doctors ranked third at 66 per cent , behind nurses ( 86 per cent ) and pharmacists ( 80. WHY IS MEDICINE IN TROUBLE ? 21.
Page 22
Preserving the Trust Between Patients and Doctors Merrilyn Walton. nurses ( 86 per cent ) and pharmacists ( 80 per cent ) . If professional- ism and ethics are not driving medicine , patient care will become secondary to other interests ...
Preserving the Trust Between Patients and Doctors Merrilyn Walton. nurses ( 86 per cent ) and pharmacists ( 80 per cent ) . If professional- ism and ethics are not driving medicine , patient care will become secondary to other interests ...
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.