Diagnosis in the public domain
Article Abstract:
When diagnoses of well-known figures are made public clinicians should ensure that the public understands that diagnosis is a process, and often a process of elimination. Apparently conflicting diagnoses are more common in medicine than the general public realizes. Clinicians should emphasize that tests are not absolute diagnostic tools. In many cases diseases manifest themselves differently in different people. When conflicting diagnoses are made public, as in the Reggie Lewis case, physicians have the responsibility for explaining how different doctors can reach different conclusions about the same patient.
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1993
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Managing care - should we adopt a new ethic?
Article Abstract:
Physicians should avoid any health care plan that requires them to adopt a distributive ethical standard. A distributive ethic calls for the physician to consider the care of a population of patients as more important than the care of an individual patient. This is often mandated by managed care plans, which expect physicians to operate on a fixed budget. This means the physician may have to provide minimal care to one patient in order to maximize care for another. However, this contradicts the patient-centered ethic that has dominated medicine since the time of Hippocrates.
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1998
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