Medical Professional Liability and the Delivery of Obstetrical Care Volume II, An Interdisciplinary Review (1989) / Chapter Skim
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Keynote Address
Keynote Address
Pages 1-6
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Department of Health and Human Services (HHS) task force ~ convened a couple of years ago to investigate the impact that growing medical liability and malpractice costs are having on people's access to health care.
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· A Texas Medical Association study in 1987 found that 69 percent of all Texas family and general practitioners had limited or eliminated some of the services they were providing; 37 percent had discontinued their obstetrical practice altogether. Another group of maternity care providers has also been hard hit by the increases in malpractice insurance rate~those who serve in federally funded Community Health Centers.
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Saving infants to live a life of nearly total dependency poses agonizing choices for parents and sometimes puts them at odds with the men and women of neonatal intensive care units whose jobs are to save infants' lives. All of these factors drive thoughtful people to reflect on how much better it would be to ensure that all pregnant women received highquality prenatal care, which can often help to avoid these agonizing choices by ensuring that fewer infants are born with intractable, lifelong medical problems.
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The department's National Center for Health Services Research and Health Care Technology Assessment is at work on this problem on a broader scale. Researchers there believe- and ~ agree—that carefully selected studies of patient outcomes can offer us two considerable advantages: (1)
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It is designed to provide clinicians and those who buy health care with the costs and value of alternative practices and procedures. In addition the Public Health Service has convened an expert pane!
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Viable, long-lasting solutions will be found only when all of us work together government at all levels, medicine, the legal profession, and the insurance industry- to get command of the facts and find out what really works. This symposium is a good step in that direction and now, let its real work begin, for the children's sake.
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