Informed Consent and Clinician Accountability: The Ethics Of Report Cards On Surgeon Performance
Cambridge University Press, 7/26/2007
EAN 9780521687782, ISBN10: 0521687780
Paperback, 316 pages, 22.6 x 15 x 1.5 cm
Language: English
This timely book analyses and evaluates ethical and social implications of recent developments in reporting surgeon performance. It contains chapters by leading international specialists in philosophy, bioethics, epidemiology, medical administration, surgery, and law, demonstrating the diversity and complexity of debates about this topic, raising considerations of patient autonomy, accountability, justice, and the quality and safety of medical services. Performance information on individual cardiac surgeons has been publicly available in parts of the US for over a decade. Survival rates for individual cardiac surgeons in the UK have recently been released to the public. This trend is being driven by various factors, including concerns about accountability, patients' rights, quality and safety of medical care, and the need to avoid scandals in medical care. This trend is likely to extend to other countries, to other clinicians, and to professions beyond health care, making this text an essential addition to the literature available.
Acknowledgements
Introduction
accountability, informed consent and clinician performance information Justin Oakley and Steve Clarke
Part I. Accountability
Introduction
1. Clinician report cards and the limits of evidence-based patient choice Michael Parker
2. Report cards for institutions, not individuals Neil Levy
3. Safety, accountability, and 'choice' after the Bristol inquiry Tom Sorell
4. Public reports
putting patients in the picture requires a new relationship between doctors and patients Merrilyn Walton
5. Adverse event disclosure
benefits and drawbacks for patients and clinicians Paul Barach and Michael Cantor
6. Report cards and performance monitoring Stephen Bolsin and Liadain Freestone
Part II. Informed Consent
Introduction
7. Informed consent and surgeons' performance Steve Clarke and Justin Oakley
8. The value and practical limits of informed consent Merle Spriggs
9. Against the informed consent argument for surgeon report cards David Neil
10. Trust and the limits of knowledge David Macintosh
11. Surgeons' report cards, heuristics, biases and informed consent Steve Clarke
12. Report cards, informed consent and market forces A. J. Walsh
Part III. Reporting Performance Information
Introduction
13. Is the reporting of an individual surgeon's clinical performance doing more harm than good for patient care? Silvana F. Marasco and Joseph E. Ibrahim
14. Examining the link between publicly reporting health care quality and quality improvement Rachel M. Werner and David A. Asch
15. Hospital and clinician performance data
what it can and cannot tell us Paul Aylin
16. An ethical analysis of the defensive surgery objection to individual surgeon report cards Justin Oakley
17. Surgeon report cards and the concept of defensive medicine Yujin Nagasawa
18. Training, innovation and surgeons' report cards Tony Eyers
19. Doctors' report cards
a legal perspective Ian Freckelton.
'…should be read by all patients and physicians. For any patient wanting to be truly informed about an operation they might undergo, the book explains the common information pitfalls found in physicians' report cards. Physicians, on the other hand, will want to read the book to understand one of the most significant socio-economic forces that will shape their careers during the next decade.' American Medical Association